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目的探讨妊娠合并甲型H1N1流感重症肺炎的预防及处理方法。方法2009年11月8日至22日在中国医科大学附属盛京医院抢救的6例妊娠合并甲型H1N1流感重症肺炎的情况,包括对年龄、孕周、症状、体征、辅助检查及治疗情况进行总结分析。结果6例均行急诊剖宫取胎术。术前胎死宫内3例,呼吸机辅助通气2例;全麻4例,硬膜外麻醉2例;术后呼吸机辅助通气治疗5例。死亡2例,治愈4例。病程越短,病情越轻,母儿结局越好。结论妊娠妇女感染流感容易发展为重症肺炎。孕期应注意防护,一旦出现流感症状应该及时治疗。如果病情不见好转,需要尽快终止妊娠。
Objective To investigate the prevention and treatment of severe pneumonia in pregnancy complicated with Influenza A (H1N1). Methods A total of 6 cases of Severe Acute Respiratory Syndrome (H1N1) pneumonia were treated in Shengjing Hospital Affiliated to China Medical University from November 8 to November 22, 2009, including age, gestational age, symptoms, signs, auxiliary examinations and treatment Analyzed. Results All patients underwent emergency cesarean section fetus fetus. Preoperative fetal death in 3 cases, ventilator assisted ventilation in 2 cases; general anesthesia in 4 cases, epidural anesthesia in 2 cases; postoperative ventilator assisted ventilation in 5 cases. 2 died, 4 cases were cured. The shorter the course of disease, the less the disease, the better the outcome of maternal and child. Conclusion Pregnant women infected with influenza easily develop severe pneumonia. Should pay attention to protection during pregnancy, flu symptoms should be promptly treated. If the condition does not improve, you need to terminate the pregnancy as soon as possible.