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南韓政府今天(11日)宣布一名40歲的孕婦確診感染MERS，使得目前染病人數達到122人。專家認為，孕婦的免疫力通常較差，屬於MERS的高危險群，在用藥、治療時會比較棘手；且孕婦染病在全球都屬罕見個案，胎兒是否會受到垂直感染，值得重視。
根據南韓保健福祉部表示，最新通報的MERS確診病例中有一名孕婦，可能是在醫院的急診病房被感染，衛生單位檢驗3次才確診。
感染症專家、台大醫學院小兒科教授黃立民表示，孕婦感染反映出南韓醫院的MERS病毒分布得相當廣泛，由於孕婦的免疫力往往比較差，本來就是MERS的高風險群，在治療時又必須考量胎兒的問題，用藥比較困難。
黃立民指出，孕婦感染MERS在全球屬於少見病例，胎兒是否會受到垂直感染值得研究。黃立民說：『(原音)MERS有50%的人他的血液裡面測得到病毒，血液裡面只要有病毒，理論上就可以經過血液傳染給小孩，可是到目前為止沒有人證明這件事情，理論上是有可能的。不管(孕婦)血液有沒有病毒，都要對小孩檢驗看有沒有問題，我們可從這上面蒐集到很重要的資料。』
疾管署防疫醫師羅一鈞指出，MERS疫情自2012年在中東發生以來，文獻上只有1起孕婦感染病例，這名約旦的孕婦懷孕5個月，在感染MERS後自然流產，孕婦本身屬輕症痊癒。
羅一鈞說，就過去SARS疫情的觀察，孕婦罹患SARS屬於發生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。SARS疫情期間，全球一共通報15起孕婦病例，其中12起為香港病例，有2成5的人死亡、5成7的人自發性流產。MERS目前的資料不足，僅能推論孕婦罹患MERS可能也是高風險族群。
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Members of South Korean Red Cross unload relief items from a truck for people who are suspected of infection and isolated at their home after having close contact with MERS patients, at Red Cross ．．． 較多Members of South Korean Red Cross unload relief items from a truck for people who are suspected of infection and isolated at their home after having close contact with MERS patients, at Red Cross Emergency Relief Operation Center in Seoul, South Korea, Thursday, June 18, 2015. (AP Photo/Lee Jin-man) 較少
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Associated Press | 拍攝者 Lee Jin-man
2015年6月18日週四 台北標準時間下午12時42分
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