妊娠合并肺炎及甲型H1N1 流感的处理及预防探讨

目的:探讨妊娠合并肺炎及甲型H1N1流感的处理及预防措施。方法:我院2009年3月至2010年5月收治的12例妊娠合并肺炎及7例妊娠合并甲型H1N1流感的情况,包括对年龄、孕周、病情、其他合并症、辅助检查、治疗情况及转归进行回顾性分析。结果:19例经治疗后治愈14例,死亡5例,均为晚期妊娠,其中4例合并重症肺炎,1例合并重度子痫前期。12例妊娠合并肺炎者,死亡3例,治愈9例;7例妊娠合并甲型H1N1流感者,死亡2例,治愈5例。结论:妊娠合并肺炎及甲型H1N1流感者,病情控制越及时,母儿结局越好,若病情不见好转,应尽早终止妊娠。

Management and Precaution of Pregnancy Complicated Pneumonia and H1N1 Influenza

Objective: To ingvestigate the management and precaution of pregnancy complicated pneumonia and H1N1 influenza.Methods: Clinical data of nineteen cases pregnant patients complicated with pneumonia and H1N1 influenza,who were treated in the First Clinical College of Harbin Medical University from March 2009 to May 2010,were analyzed retrospectively,including age,preg-nant age,clinical manifestations,other complications,affiliated test and management.Results: After treatment,14 cases cured,and 5cas-es died who were all late pregnancy,meanwhile,4 cases complicated severe pneumonia and 1 case complicated severe preeclampsia.3 cases died and 9 cases cured in the 12 cases who complicated pneumonia.In addition,2 cases died and 5 cases cured in the 7 cases who complicated H1N1 influenza.Conclusions: Prompt diagnosis and treatment could reduce the maternal morbidity and mortality due to pneumonia and H1N1 influenza in pregnancy.If the patients’ condition is severe,they should finish the pregnancy.