Community-Acquired Pneumonia During Pregnancy_Chinese Journal of Respiratory and Critical Care Medicine

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QIN Zhiqiang

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妊娠期是妇女的一个特殊阶段, 此阶段内孕妇一人承当着两人甚至三人的生命, 而且孕产妇死亡率和围产儿死亡率是反映母婴安全的重要指标之一。因此, 妊娠期保健备受各级医疗保健机构重视。由于妊娠期妇女生理状况与普通成人有所不同, 临床医生可能会面临两种情况: 一是妊娠期的生理改变是否会使疾病的临床表现不典型并因此影响疾病的及时诊断; 二是各种检查诊断技术应用以及治疗用药可能会对胎儿产生不利影响, 使临床医生在为孕妇实施诊疗时有所顾忌。社区获得性肺炎( CAP) 是我国城乡常见呼吸系统疾病, 但国内对妊娠期CAP 的研究多限于个案报道, 国外也只有少数研究报道。

Citation： QIN Zhiqiang. Community-Acquired Pneumonia During Pregnancy. Chinese Journal of Respiratory and Critical Care Medicine, 2009, 09(4): 409-411. doi: Copy

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3.	Wise RA, Polito AJ, Krishnan V. Respiratory physiologic changes in pregnancy. Immunol Allergy Clin North Am, 2006, 26: 1-12.
4.	Yost NP, Bloom SL, Richey SD, et al. An appraisal of treatment guidelines for antepartum community-acquired pneumonia. Am J Obstet Gynecol, 2000, 183: 131-135.
5.	中华医学会呼吸病分会. 社区获得性肺炎诊断和治疗指南. 中华结核和呼吸杂志, 2006, 29: 651-655.
6.	Shariatzadeh MR, Marrie TJ. Pneumonia during pregnancy. Am J Med, 2006, 119: 872-876.
7.	Bánhidy F, Acs N, PuhóEH, et al. Maternal acute respiratory infectious diseases during pregnancy and birth outcomes. Eur J Epidemiol, 2008, 23: 29-35.
8.	刘柏洪. 妊娠合并肺炎7 例临床分析. 中国基层医药, 2006, 13: 1401-1402.
9.	Munn MB, Groome LJ, Atterbury JL, et al. Pneumonia as a complication of pregnancy. J Matern Fetal Med, 1999, 13( 8) : 151- 154.
10.	Mandell LA, Wunderink RG, Anzueto A, et al. Infectious Diseases Society of America /American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults. Clin Infect Dis, 2007, 44: S27-S72.
11.	Lowe SA. Diagnostic radiography in pregnancy: risks and reality. Aust N Z J Obstet Gynaecol, 2004, 44: 191-196.
12.	例妊娠合并肺炎的临床分析. 热带医学杂志, 2008, 8: 692-693, 696.
13.	Kusama T, Ota K. Radiological protection for diagnostic examination of pregnant women. Congenit Anom ( Kyoto) , 2002, 42: 10-14.
14.	Bánhidy F, Lowry RB, Czeizel AE. Risk and benefit of drug use during pregnancy. Int JMed Sci, 2005, 2: 100-106.
15.	Schwarz EB, Postlethwaite DA, Hung YY, et al. Documentation of contraception and pregnancy when prescribing potentially teratogenic medications for reproductive-age women. Ann Intern Med, 2007 , 147: 370-376.
16.	Jin Y, Carriere KC, Marrie TJ, et al. The effects of communityacquired pneumonia during pregnancy ending with a live birth. AmJ Obstet Gynecol, 2003, 18: 800-806.
17.	杨洁, 陈敦金, 黄神姣, 等.
18.	Van Putte-Katier N, Uiterwaal CS, De Jong BM, et al. The influence of maternal respiratory infections during pregnancy on infant lung function. Pediatr Pulmonol, 2007, 42: 945-951.

1. Chesnutt AN. Physiology of normal pregnancy. Crit Care Clin, 2004 , 20: 609-615.
2. Yeomans ER, Gilstrap LC 3 rd. Physiologic changes in pregnancy and their impact on critical care. Crit Care Med, 2005, 33: S256 - S258.
3. Wise RA, Polito AJ, Krishnan V. Respiratory physiologic changes in pregnancy. Immunol Allergy Clin North Am, 2006, 26: 1-12.
4. Yost NP, Bloom SL, Richey SD, et al. An appraisal of treatment guidelines for antepartum community-acquired pneumonia. Am J Obstet Gynecol, 2000, 183: 131-135.
5. 中华医学会呼吸病分会. 社区获得性肺炎诊断和治疗指南. 中华结核和呼吸杂志, 2006, 29: 651-655.
6. Shariatzadeh MR, Marrie TJ. Pneumonia during pregnancy. Am J Med, 2006, 119: 872-876.
7. Bánhidy F, Acs N, PuhóEH, et al. Maternal acute respiratory infectious diseases during pregnancy and birth outcomes. Eur J Epidemiol, 2008, 23: 29-35.
8. 刘柏洪. 妊娠合并肺炎7 例临床分析. 中国基层医药, 2006, 13: 1401-1402.
9. Munn MB, Groome LJ, Atterbury JL, et al. Pneumonia as a complication of pregnancy. J Matern Fetal Med, 1999, 13( 8) : 151- 154.
10. Mandell LA, Wunderink RG, Anzueto A, et al. Infectious Diseases Society of America /American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults. Clin Infect Dis, 2007, 44: S27-S72.
11. Lowe SA. Diagnostic radiography in pregnancy: risks and reality. Aust N Z J Obstet Gynaecol, 2004, 44: 191-196.
12. 例妊娠合并肺炎的临床分析. 热带医学杂志, 2008, 8: 692-693, 696.
13. Kusama T, Ota K. Radiological protection for diagnostic examination of pregnant women. Congenit Anom ( Kyoto) , 2002, 42: 10-14.
14. Bánhidy F, Lowry RB, Czeizel AE. Risk and benefit of drug use during pregnancy. Int JMed Sci, 2005, 2: 100-106.
15. Schwarz EB, Postlethwaite DA, Hung YY, et al. Documentation of contraception and pregnancy when prescribing potentially teratogenic medications for reproductive-age women. Ann Intern Med, 2007 , 147: 370-376.
16. Jin Y, Carriere KC, Marrie TJ, et al. The effects of communityacquired pneumonia during pregnancy ending with a live birth. AmJ Obstet Gynecol, 2003, 18: 800-806.
17. 杨洁, 陈敦金, 黄神姣, 等.
18. Van Putte-Katier N, Uiterwaal CS, De Jong BM, et al. The influence of maternal respiratory infections during pregnancy on infant lung function. Pediatr Pulmonol, 2007, 42: 945-951.

Chinese Journal of Respiratory and Critical Care Medicine

Community-Acquired Pneumonia During Pregnancy

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