孕妇或免疫抑制患者出现水痘,可能发生严重后果,甚至引起死亡。本文介绍4例妊娠期妇女接受无环鸟苷治疗水痘的疗效。这些患者皆有吸烟嗜好,其中3例并发肺炎,同近期报道的水痘性肺炎与吸烟有关相一致。例1,33岁,妊娠26周,发病第4日出现呼吸困难,发烧并有轻度水痘,胸部体征不明显,但 X 线摄片为广泛性肺炎。给予无环鸟苷5mg/kg,每8小时静注1次,因缺氧加剧仍需吸氧,婴儿用剖宫术取出后不久死亡,1个月后母亲死于肠梗阻。 Chickenpox in pregnant women or immunosuppressed patients can have serious consequences and can even cause death. This article describes four cases of gestational women receiving acyclovir curative effect of chickenpox. All of these patients had smoking habits, and three of them were complicated by pneumonia, consistent with recent reports of chickenpox-like pneumonia and smoking. Cases of 1,33 years of age, 26 weeks of pregnancy, the onset of the 4th day of breathing difficulties, fever and mild chickenpox, chest signs were not obvious, but X-ray extensive pneumonia. Given acyclovir 5mg / kg, intravenously every 8 hours 1, due to hypoxia still need oxygen, infants after cesarean section removed soon after death, 1 month after the mother died of intestinal obstruction.