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目的 探讨妊娠合并水痘对母婴结局的影响和治疗方法。方法 对2012年1月至2014年6月南京市第二医院妊娠合并水痘资料进行回顾性分析。结果 13例妊娠合并水痘发病孕周分别为14周1例,20~28周2例,32周1例,37~40周9例。其中孕妇发热11例,继发性皮肤感染3例,未出现水痘肺炎、脑炎。所有孕妇均足月分娩,胎儿宫内窘迫1例,剖宫产7例,产后出血4例,无先天性水痘综合征患儿,新生儿水痘2例。结论 孕妇感染水痘患者应妇产科、感染科医生共同诊断治疗,围生期特别是水痘完全结痂期前分娩的新生儿可能患水痘,静脉给予丙种球蛋白可预防新生儿水痘的发生。
Objective To study the effects of pregnancy complicated with varicella to maternal and neonatal outcomes and treatment methods. Method 13 cases of pregnancy complicated with varicella in the department of the Second Affiliated Hospital between January 2012 and June 2014 were selected in the study. Results Varicellainfection time: 14 weeks of pregnancy 1 cases, 2 cases with 20~28 weeks, 1 cases with 32 weeks, 37~40 weeks in 9 cases; 11cases of pregnant women with fever in 13 cases, 3 cases of secondary infection of the skin, do not appear varicella pneumonia, encephalitis; pregnancy outcome: all full-term delivery, fetal distress in 1 cases, cesarean section in 7 cases, 4 cases of postpartum hemorrhage in children with congenital varicella syndrome, no congenital varicella syndrome, 2 cases of neonatal varicella. Conclusions Infection of pregnant women with varicella patients should be Department of Gynecology and obstetrics, Department of infection doctors diagnosis and treatment during pregnancy, reasonable application of acyclovir antiviral treatment, strengthening the maternal fetal monitoring during the pregnancy, perinatal especially varicella completely crusted period before delivery of the neonate may be suffering from chicken pox, intravenous gamma globulin can prevent the occurrence of neonatal varicella.
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