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J Ultrasound Med ; 40(1): 191-203, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32478445

RESUMO

Lung ultrasound (LUS) is an effective tool to detect and monitor patients infected with 2019 coronavirus disease (COVID-19). The use of LUS on pregnant women is an emerging trend, considering its effectiveness during the outbreak. Eight pregnant women with a diagnosis of COVID-19 confirmed by nasal/throat real-time reverse transcription polymerase chain reaction testing who underwent point-of-care LUS examinations after routine obstetric ultrasound are described. A routinely performed LUS examination revealed serious lung involvement in 7 cases: 2 were initially asymptomatic; 3 have chest computed tomography; 1 had initial negative real-time reverse transcription polymerase chain reaction results; and 1 had initial negative computed tomographic findings. Treatment for COVID-19 was either commenced or changed in 87.5% of the patients (n = 7 of 8) on LUS findings. Among patients with abnormal LUS findings, treatment was commenced in 5 patients (71.5%) and changed in 2 patients (28.5%). One normal and 7 abnormal LUS cases indicate the impact of routine LUS on the clinical outcome and treatment of pregnant women.


Assuntos
COVID-19/diagnóstico por imagem , COVID-19/terapia , Pulmão/diagnóstico por imagem , Complicações Infecciosas na Gravidez/terapia , Ultrassonografia/métodos , Adulto , Feminino , Humanos , Gravidez , Índice de Gravidade de Doença , Adulto Jovem
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