摘要
目的 分析体外受精和胚胎移植（IVF-ET）后妊娠发生急性血行播散性肺结核的临床特点.方法 回顾性分析2003年1月至2012年10月在杭州市红十字会医院治疗的IVF-ET后妊娠并发血行播散性肺结核的1 1例患者的临床资料.结果 IVF-ET后妊娠并发急性血行播散性肺结核患者的临床表现多不典型,均以发热为主要表现,可伴有头痛,呼吸道症状隐匿,胸部影像学表现以粟粒性结节改变为主.3例妊娠患者人工流产终止妊娠,其余8例均在发病后2～5周内发生自然流产.结论 IVF-ET后妊娠发生血行播散性肺结核的妊娠结局差,对抗炎治疗无效的IVF-ET发热患者应警惕结核病,尽早行结核病的相关检查.
Objective To analyze the clinical characteristics of acute hematogenous pulmonary tuberculosis and tuberculous meningitis in pregnant women after in vitro fertilization and embryo transfer （IVF-ET）.Methods Clinical data of 11 cases of hematogenous pulmonary tuberculosis and tuberculous meningitis in women after IVF-ET admitted in Hangzhou Red Cross Hospital from January 2003 to October 2012 were retrospectively analyzed.Results The clinical manifestations of acute hematogenous pulmonary tuberculosis and tuberculous meningitis were non-specific.All cases presented with fever,and some were accompanied by headache,but no typical respiratory manifestation was observed.Chest X-ray showed typical military lesions.Miscarriage occurred in 11 patients within 2 to 5 weeks after the onset of fever,including 3 received artificial abortion.Conclusions The outcome of hematogenous pulmonary tuberculosis in pregnant women after IVF-ET is less favorable.Physicians should be aware of tuberculosis in pregnant women after IVF-ET,especially for those with long-term fever and not responding to anti-inflammatory treatment.
出处
《中华临床感染病杂志》
CAS
2014年第2期137-139,共3页
Chinese Journal of Clinical Infectious Diseases
关键词
结核
肺
结核
粟粒性
结核
脑膜
受精
体外
胚胎移植
Tuberculosis, pulmonary
Tuberculosis, military
Tuberculosis, meningeal
Fertilization in Vitro
Embryo transfer
