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妊娠期新冠患者的临床表现及其新生儿健康状况
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作者 徐鲁明 杨倩倩 +17 位作者 石浩军 雷世俊 刘晓丽 朱颖 务秋蕾 丁秀丽 田艳红 胡清华 陈凤花 耿帜 曾想枝 林琳 蔡雪红 吴敏 王泽华 王征 夏革清 王琳 《Science Bulletin》 SCIE EI CAS CSCD 2020年第18期1537-1542,M0003,共7页
2019年末,新型冠状病毒肺炎在全球开始蔓延,严重威胁孕产妇和新生儿生命安全,但目前对这类特殊人群的临床报道和研究还比较少.本文回顾性研究分析了武汉地区2020年1月21日~2月9日收治的五位新冠肺炎孕妇及其新生儿的临床表现和CT、血常... 2019年末,新型冠状病毒肺炎在全球开始蔓延,严重威胁孕产妇和新生儿生命安全,但目前对这类特殊人群的临床报道和研究还比较少.本文回顾性研究分析了武汉地区2020年1月21日~2月9日收治的五位新冠肺炎孕妇及其新生儿的临床表现和CT、血常规、病毒核酸等检查结果.结果显示,与普通新冠肺炎患者临床表现类似,患者均出现了发热、咳嗽、肺部CT磨玻璃状等新冠肺炎典型特征.在发病初期,患者均出现了淋巴细胞与嗜酸性粒细胞计数显著降低这一现象.五位患者均在住院期间通过顺产或剖腹产安全分娩,且新生儿在出生后10~33 d,核酸检测结果均为阴性.根据患者及其新生儿的临床表现与核酸检验结果,在这五例病例中未观察到新冠病毒的母婴垂直传播.此外,淋巴细胞减少、嗜酸性粒细胞减少,以及C反应蛋白升高这三项临床检验指标的变化特征,有可能帮助新冠肺炎孕产妇的早期诊断与筛查. 展开更多
关键词 母婴垂直传播 淋巴细胞减少 安全分娩 肺炎患者 核酸检测 新生儿生命 嗜酸性粒细胞 病毒核酸
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Expression of inducible nitric oxide synthase in trophoblasts and deciduas in early medical abortion
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作者 geqing xia Chaoying WU 《Frontiers of Medicine》 SCIE CSCD 2009年第2期216-219,共4页
The purpose of this study was to investigate the expression of inducible nitric oxide synthase(iNOS)in trophoblasts and deciduas in early medical abortion,and study the relationship of medical abortion through mifepri... The purpose of this study was to investigate the expression of inducible nitric oxide synthase(iNOS)in trophoblasts and deciduas in early medical abortion,and study the relationship of medical abortion through mifepristone and iNOS in early pregnancy.Expression of iNOS in trophoblasts and deciduas was detected by both in situ hybridization and immunohistochemical assay in 40 patients(experimental group);the positive expression of iNOS was represented by number density(N/S)and positive unit(Pu)using computer color magic image analysis system(CMIAS).All results were compared with those obtained from vacuum aspiration.In the experi-mental group,N/S and Pu in trophoblasts were 0.120�0.010 and 15.3�2.6,respectively,while in the control group,they were 0.021�0.003 and 3.1�0.5,respectively,and there were significant differences between the two groups.By immunohistochemical assay,N/S and Pu were 0.090�0.010,10.24�1.55 vs 0.016�0.002,1.26�0.33 in the trophoblasts of the two groups;there were also significant differences between the two groups.There were lower iNOS expression in deciduas by in situ hybridization and immunohistochem-ical assay,and the difference between the two groups was not significant.It was concluded that mifepristone induced medical abortion through the expression of iNOS in trophoblasts but not in deciduas. 展开更多
关键词 MIFEPRISTONE inducible nitric oxide synthase early pregnancy placental immunity
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