(中央社記者龍珮寧台北11日電)南韓11日確診一名孕婦感染MERS,且還是前後歷經3次採檢才確診。國內專家表示,孕婦是MERS高危險群,理論上有可能垂直感染給胎兒,值得後續密切關注。

南韓保健福祉部今通報14例中東呼吸症候群(MERS)新增病例,確診患者擴增至122人,是沙烏地阿拉伯以外疫情最大規模的地區,其中包括1名40歲的懷孕婦女在內。

「孕婦感染MERS屬全球少見,胎兒是否會垂直感染仍值得觀察及研究」感染症專家、台大醫學院小兒科教授黃立民說,有50%的MERS確診患者的血液中測得到病毒,若血液內有病毒,理論上就可透過血液傳染給小孩,不過這仍無法證實。

黃立民說,寶寶出生後,主治醫師就會觀察小孩是否垂直感染,若有則症狀如何,病毒量多少、如何治療等,這也能提供國際研究重要的訊息。

疾病管制署防疫醫師羅一鈞說,從2012年有MERS疫情至今,中東地區生產模式以居家生產為主,非到醫院婦產科,因此文獻上只有1名約旦懷孕5個月的孕婦感染病例,在感染後自然流產,而孕婦本身屬輕症且痊癒。

羅一鈞分析SARS當時的孕婦感染情況指出,孕婦是呼吸衰竭的高風險族群,且發生流產、早產、死產等併發症的風險也比較高。在SARS期間,全球共通報15名孕婦染SARS病例,12例是香港孕婦,其中25%死亡、57%自發性流產,其他是順產,沒有任何一例遭到垂直感染。

他說,不過MERS至今資料不足,只能推論孕婦羅患MERS可能也是高風險群。

羅一鈞表示,目前掌握,南韓這名孕婦情況穩定,但怕影響胎兒,可能不會使用部分有助減輕症狀的藥物,但總體而言,還不用過度擔心。1040611

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A South Korean security person wears a mask as a precaution against the Middle East Respiratory Syndrome (MERS) virus at the customs, immigration and quarantine gate in Paju, South Korea, near the ... 較多A South Korean security person wears a mask as a precaution against the Middle East Respiratory Syndrome (MERS) virus at the customs, immigration and quarantine gate in Paju, South Korea, near the border village of Panmunjom, South Korea, Saturday, June 13, 2015. Experts from the World Health Organization and South Korea on Saturday downplayed concerns about the MERS virus spreading further within the country, but said that it was premature to declare the outbreak over. The signboard at right reads "Return". (AP Photo/Ahn Young-joon) 較少











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Associated Press | 拍攝者 Ahn Young-joon





2015年6月14日週日 台北標準時間上午9時00分





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