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

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QIN Zhiqiang

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妊娠期是婦女的一個特殊階段, 此階段內孕婦一人承當著兩人甚至三人的生命, 而且孕產婦死亡率和圍產兒死亡率是反映母嬰安全的重要指標之一。因此, 妊娠期保健備受各級醫療保健機構重視。由于妊娠期婦女生理狀況與普通成人有所不同, 臨床醫生可能會面臨兩種情況: 一是妊娠期的生理改變是否會使疾病的臨床表現不典型并因此影響疾病的及時診斷; 二是各種檢查診斷技術應用以及治療用藥可能會對胎兒產生不利影響, 使臨床醫生在為孕婦實施診療時有所顧忌。社區獲得性肺炎( CAP) 是我國城鄉常見呼吸系統疾病, 但國內對妊娠期CAP 的研究多限于個案報道, 國外也只有少數研究報道。

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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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.	中華醫學會呼吸病分會. 社區獲得性肺炎診斷和治療指南. 中華結核和呼吸雜志, 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.	劉柏洪. 妊娠合并肺炎7 例臨床分析. 中國基層醫藥, 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.	例妊娠合并肺炎的臨床分析. 熱帶醫學雜志, 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.	楊潔, 陳敦金, 黃神姣, 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. 中華醫學會呼吸病分會. 社區獲得性肺炎診斷和治療指南. 中華結核和呼吸雜志, 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. 劉柏洪. 妊娠合并肺炎7 例臨床分析. 中國基層醫藥, 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. 例妊娠合并肺炎的臨床分析. 熱帶醫學雜志, 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. 楊潔, 陳敦金, 黃神姣, 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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