LeSher A R, O'Connor R E
Emergency Medical Services, Medical Center of Delaware.
Del Med J. 1992 Oct;64(10):619-22.
Massive trauma in a near-term pregnant patient challenges the emergency physician with very difficult treatment choices. We present the case of a severely traumatized pregnant female, near term, in whom the decision to proceed with a perimortem cesarean section in the Emergency Department produced a viable infant. We discuss the guidelines that are used in making such a decision and their rationale. The physiologic changes of pregnancy that may complicate maternal assessment and the effect of shock on the fetus are also discussed.
近期妊娠患者发生严重创伤，给急诊医生带来了极具挑战性的治疗选择难题。我们报告一例近期妊娠的严重创伤女性病例，在急诊科决定进行濒死剖宫产，产出了一名存活婴儿。我们讨论了做出此类决定所依据的指南及其基本原理。还讨论了可能使母体评估复杂化的妊娠生理变化以及休克对胎儿的影响。
