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Table 1 Blood oxygenation, heart function, myocardial enzyme spectrum, and blood cell count data before and after the fetal death delivery in a 28-year-old woman infected with influenza A (H7N9) virus

From: Delivery of fetus death with misoprostol in a pregnant woman with H7N9 avian influenza A virus pneumonia and ARDS

 

Day prior to fetal death delivery

Day after fetal death delivery

Oxygenation and respiratory data

  

PaO2/FiO2

150

187

Positive end-expiratory pressure (mmHg)

10

9

Plateau pressure (mmHg)

28

25

Lung compliance (ml/cmH2O)

43.4

61.5

Basic circulation data

  

Heart rate (beats/minute)

135

114

Mean arterial blood pressure (mmHg)

105

86

Vasoactive agent

None

None

Echocardiographic data

  

Left ventricular ejection fraction (%)

33

68

Right ventricular systolic pressure (mmHg)

52

42

Left ventricular end-diastolic diameter (mm/m2)

41

43

Left ventricular end-systolic diameter (mm/m2)

35

29

Left atrial diameter (mm/m2)

36

27

Interventricular septal thickness (mm/m2)

9

9

Left ventricular posterior wall thickness (mm/m2)

8

7

Myocardial enzyme spectrum

  

Aspartate transaminase (u/l)

66

61

Creatine kinase (U/l)

377

122

Creatine kinase isomer-MB (u/l)

20

40

Lactate dehydrogenase (u/l)

448

411

Troponin (ng/ml)

0.15

0.12

Blood cell counts

  

White blood cells (×109/l)

26.7

27.4

Lymphocytes (×109/l)

0.7

1.8

CD4+ T lymphocytes (%)

9.0

42.4

CD8+ T lymphocytes (%)

14.5

37.3

CD4+/CD8+

0.62

1.14

CD3+/CD19+ B lymphocytes (%)

7.7

2.3

CD3+CD56+ natural killer cells (%)

4.8

18.9

  1. The ratio of arterial oxygen pressure (PaO2) to the fractional concentration of inspired oxygen (FiO2) (PaO2/FiO2), pulmonary dynamic compliance, heart rate, left ventricular ejection fraction, right ventricular systolic pressure, left ventricular end-systolic diameter, creatine kinase isomer-MB, number of lymphocyte cells, CD4+ T-lymphocyte cell count, CD8+ T-lymphocyte cell count and CD3-CD56+ natural killer cell count were significantly improved after the fetal death delivery.