PDF(Pubmed)
Abstract：
SARS-CoV-2 is a newly identified virus that causes COVID 19, spreading very fast in the world. Uncontrolled diabetes in pregnancy can increase the risk of pregnancy outcomes. Pregnant women are at high risk of developing a viral infection, like SARS-COV and on the other hand, diabetes ketoacidosis (DKA) which is coupled with COVID-19, can increase maternal mortality. The patient was a 27-years-old female G3P1L1Ab1 with a history of a previous cesarean section. On 26 March 2020, a fetal ultrasound revealed intra-uterine fetal death (IUFD) and also diagnosis of DKA and COVID-19 in the patient that she was expired eventually due to the uncontrolled DKA. In this case report, a pregnant woman with a diagnosis of IUFD, DKA and COVID-19 simultaneously is described. To the best of the authors of this paper\'s knowledge, no previous work has been reported for the comorbidity of diabetes and COVID-19 in pregnancy, but it seems that the coincidence of the above-mentioned diseases can delay the recovery period and also can increases maternal and fetal mortality. When DKA and COVID-19 appear in the patient simultaneously, we cannot control DKA by the routine protocol treatments of DKA which were used formerly.
摘要：
SARS-CoV-2是一种新发现的导致COVID19的病毒，在世界范围内传播非常快。妊娠期不受控制的糖尿病会增加妊娠结局的风险。孕妇患病毒感染的风险很高，像SARS-COV，另一方面，糖尿病酮症酸中毒（DKA）合并COVID-19可增加孕产妇死亡率。患者为一名27岁女性G3P1L1Ab1，既往有剖宫产史。2020年3月26日，胎儿超声检查显示子宫内胎儿死亡（IUFD），并诊断为DKA和COVID-19，该患者最终因不受控制的DKA而过期。在这个案例报告中,诊断为IUFD的孕妇，同时描述了DKA和COVID-19。据本文作者所知，以前没有关于妊娠期糖尿病和COVID-19共病的研究报告，但上述疾病的巧合似乎会推迟恢复期，也会增加孕产妇和胎儿的死亡率。当DKA和COVID-19同时出现在患者体内时，我们不能通过以前使用的DKA的常规方案治疗来控制DKA。
