Severe influenza A (H1N1) in late pregnancy: a case report
10.3760/cma.j.issn.2095-4352.2019.12.023
- VernacularTitle: 妊娠晚期合并重症甲流救治成功1例
- Author:
Ruiling ZHANG
1
;
Jinxi YUE
1
;
Weihua ZHU
1
;
Ouya LIU
1
;
Ling DU
2
;
Qingqing HUANG
1
;
Runmei MA
3
;
Linjun WAN
1
Author Information
1. Department of Critical Care Medicine, the Second Affiliated Hospital of Kunming Medical University, Kunming 650000, Yunnan, China
2. Department of Obstetrics, the Second Affiliated Hospital of Kunming Medical University, Kunming 650000, Yunnan, China
3. Department of Obstetrics, Kunming Angel Women's & Children's Hospital, Kunming 650000, Yunnan, China
- Publication Type:Clinical Trail
- Keywords:
Severe influenza A;
Late pregnancy;
Acute respiratory distress syndrome
- From:
Chinese Critical Care Medicine
2019;31(12):1545-1546
- CountryChina
- Language:Chinese
-
Abstract:
Pregnancy has increased susceptibility to H1N1 influenza virus infection. Maternal influenza infection is associated with increased risk of morbidity and mortality. A case of influenza A (H1N1) during late pregnancy (pregnancy 1, birth 0, pregnancy 30+2 weeks) was admitted to the Second Affiliated Hospital of Kunming Medical University on December 16th, 2018. The patient was set on mechanical ventilation with a FiO2 of 1.0, a positive end-expiratory pressure (PEEP) of 15 cmH2O (1 cmH2O = 0.098 kPa), and a tidal volume of 4-6 mL/kg (ideal body weight). However the pulse oxygen saturation (SpO2) could only be maintained at about 0.85. The disease was controlled by the treatments of anti-infection, mechanical ventilation, immune therapy, nutritional support, preventive anticoagulant treatment by heparin sodium, adequate negative fluid balance, and other organ support therapy. This article introduced the treatment process of the patient in detail, and provided experience for clinical treatment.
