Vorhies Robert W, Waswick William A, Delmore James E, Dort Jonathan M, Shaw John W
Department of Surgery, The University of Kansas School of Medicine-Wichita, Wichita, Kansas, USA.
Am Surg. 2004 Jun;70(6):559-60.
Trauma is the leading cause of nonobstetric morbidity and mortality in pregnancy. Care of the pregnant trauma patient is well documented in the medical literature; however, little has been written about the management of trauma patients with ectopic or cornual pregnancy. Herein, we report the previously undocumented occurrence of a traumatic rupture of a cornual ectopic pregnancy. The use of trauma ultrasound, computerized tomography, as well as obstetrical evaluation prevented an imminent life-threatening complication of this patient's pregnancy.
创伤是孕期非产科发病和死亡的主要原因。医学文献中对妊娠创伤患者的护理有充分记载;然而,关于异位妊娠或宫角妊娠创伤患者的管理却鲜有论述。在此,我们报告一例此前未记录的宫角异位妊娠创伤性破裂病例。创伤超声、计算机断层扫描以及产科评估的应用避免了该患者妊娠即将出现的危及生命的并发症。