摘要
探讨1例新型冠状病毒肺炎(简称新冠肺炎)康复期的孕产妇围产期的诊疗方法。记录分并析围产期孕产妇在分娩前中后不同阶段的症状体征、化验检查以及胎儿状况。根据临床亲身诊疗经验,了解新冠肺炎妊娠妇女的影响及危险因素,逐步完善诊治流程。产前应严密隔离,监测体温、血氧等常规指标,取左侧卧位,加强胎心监测和产妇营养支持;产时医护人员全程跟进,指导产妇合理用力,促进产程进展,分娩过程中给予产妇持续的心电监护及胎心监护;产后将新生儿隔离观察,以减少新生儿感染风险,并对其进行恰当母乳喂养。此外,密切观察产妇的生命体征,警惕发生产后出血,关注产妇心理状况。
To investigate the perinatal diagnosis and treatment of one pregnant woman in the convalescing period of Coronavirus Disease 2019(COVID-19). The symptoms, signs, laboratory tests and fetal status of perinatal women were recorded and analyzed before delivery, during delivery and after delivery. The influence and risk factors of COVID-19 pregnant women were explored and the diagnosis and treatment procedures based on personal clinical experience were gradually improved. Prenatal isolation should be strictly performed, body temperature, blood oxygen and other routine indicators should be monitored, left decubitus position should be taken, fetal heart monitoring and maternal nutrition support should be strengthened. In the process of delivery, continuous electrocardiograph monitoring and fetal heart monitoring were given to the parturient;after delivery, the newborn was isolated for observation to reduce the risk of infection and to breastfeed the newborn appropriately. In addition, the vital signs of the mothers were closely monitored to prevent postpartum bleeding, and the psychological state of the mothers was paid attention to.
作者
潘志刚
邵娟
吕英璞
田彦玲
PAN Zhigang;SHAO Juan;LYU Yingpu;TIAN Yanling(Department of Gynecology,Shijiazhuang People′s Hospital of Hebei Province,the 980th Hospital of Joint Service Support Force of Chinese People′s Liberation Army,Shijiazhuang,Hebei,050000)
出处
《实用临床医药杂志》
CAS
2022年第23期50-54,共5页
Journal of Clinical Medicine in Practice
基金
河北省2022年度医学科学研究课题(20221706)。
关键词
新型冠状病毒肺炎
康复期
孕产妇
围产期
新生儿
Coronavirus Disease 2019
rehabilitation period
the pregnant and birth giving women
the perinatal period
newborn