关键词: 新型冠状病毒, 新型冠状病毒肺炎, 妊娠期, COVID-19, SARS-CoV-2, 腹泻

Abstract: Objective: To analyze the process of diagnosis and treatment of the patient with novel coronavirus pneumonia(COVID-19) in pregnancy, and to provid the refercnce for the diagnosis and treatment of COVID-19 in pregnancy. Methods: The general materials,COVID-19 patient contact history,physical examination,auxilliary examination,diagnosis methods and treatment methods of a COVID-19 patient in pregnancy, who recovered and was discharged, with the gastrointestinal symptoms as the first manifestations were retrospectively analyzed;the quick and correct diagnosis and treatment methods for COVID-19 in pregnancy were explored. Results: The female patient,aged 38 years old,was hospitalized because of "menelipsis 30⁺² weeks,diarrhea and nausea for 3 d".The acute gastrointestinal symptoms such as diarrhea and nausea were presented without obvious inducement.Because the patient had the contact history of the COVID-19 patients in Wuhan city,pharyngeal swab nucleic acid test and lung CT scan were performed in the patient.The result of pharyngeal swab nucleic acid test was positive,and the CT results showed that the inferior lobe of left lung and the upper and lower lobes of right lung had maltipre speckle shadows.The clinical diagnosis was COVID-19.In the treatment process,the maternal vital signs and the fetal state in utero were monitored strictly.The patient received combined treatment of Chinese and Western medicine.After treatment,the examination indexes of the pregnant woman were improved,and the results of sputum and pharyngeal swab nucleic acid test were negative for consecutive two times;the lung inflammation was improved;the fetal heart monitoring was normal;the time of patient in hospital was 15 d;the patient recovered safely and was discharged. Conclusion: The gastrointestinal symptoms such as diarrhea, nausea, and vomiting may be the first manifestations of the COVID-19 patients.CT examination plays an important role in screening the patients with suspected COVID-19, and it is safe to be used in pregnancy. Early and sufficient Chinese medicine combined with antiviral treatment for non-heavy COVID-19 is effective.

Key words: novel coronavirus, novel coronavirus pneumonia, pregnancy, COVID-19, SARS-CoV-2, diarrhea