孕产妇乙型流感临床特点及治疗体会

Clinical features and treatment of influenza B in gravida

目的:探讨孕产妇乙型流感的临床特点及影像学特征,为诊断、治疗、病情评估和预后判断提供依据。方法:对6例孕产妇乙型流感患者的临床特点、诊疗措施和影像学变化特征进行回顾性分析。结果:6例均有发热、咳嗽症状,肺部体征不明显。胸部影像学表现为肺炎征象3例,支气管感染征象3例。剖宫产5例,手术均取活婴,1例孕34周病情稳定出院待产。6例患者均未发生呼吸衰竭,全部治愈。5例剖宫产患者平均住院6.6 d。结论:孕产妇乙型流感多症状重而体征轻,影像学检查显示局限性病毒性肺炎或支气管感染征象,预后较好。晚孕患者密切观察病情适时行剖宫产术。

Objective： To study the clinical and imaging features of influenza B in women in pregnancy so as to provide basis for the diagnosis,treatment, assessment and prognosis of the disease. Methods：The clinical features, treatment and imaging changes of 6 pregnant women with influenza B were analyzed retrospectively. Results- All the 6 cases presented the symptoms of fever and cough, but lung signs were unobvious. Three cases showed pneumonia signs and 3 bronchial infection signs on the chest imaging. Five cases receiving cesarean section had five healthy newborns. No respiratory failure occurred, and all the 6 cases were cured. The average hospital stay of the 5 cases with cesarean section was 6.6 days. Conclusions： The symptoms of influenza B in pregnant women are often severe, but presenting light physical signs. The imaging manifests small area virus pneumonia or bronchial infection signs;the prognosis is fairly good. Women in late pregnancy with influenza B should be ready to receive cesarean section at any time if necessary.