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孕妇创伤性损伤:以一起机动车事故为例进行“临床病例讨论”

Traumatic injuries in pregnant women: a case of motor vehicle accident for "Ground Round" discussion.

作者信息

Ahmadi Alireza, Fakheri Taravat, Amini-Saman Javad, Amanollahi Omid, Mordi Mahmoudreza, Nasrabadi Maryam Almasi, Gholipour Yousef, Dehghani Reza, Bazargan-Hejazi Shahrzad

机构信息

Imam Reza Hospital, Kermanshah, University of Medical Sciences, Iran.

出版信息

J Inj Violence Res. 2011 Jan;3(1):55-9. doi: 10.5249/jivr.v3i1.28.

Abstract

UNLABELLED

The main objective for introducing this case study is to create a platform from which the importance of road traffic related injuries and traumas can be emphasized and discussed within and across various fields of investigation. The long term goal is to entice public campaign around unmet needs for higher road safety measures to reduce primary, secondary, and tertiary risks of injuries and traumas.

CASE

a 28-year-old pregnant woman with a 16-week gestational age fetus was involved in a road car crash resulting in multiple traumas. Evaluation and treatment was initiated in the local Urgent Care Unit and continued in the emergency department and operation room. Patient underwent the following procedures: laparotomy, diverting colostomy, terminating pregnancy, right calcaneal traction and long leg splint, as well as multiple irrigation-debridements. Finally, the wound was left open and the patient was admitted to Intensive Care Unit. We hope that the introduction of this case for a "Ground Round" discussion will stir up a comprehensive discussion regarding the injury and trauma related preventive measures as well as treatment approaches in cases involving pregnant women in car accidents, and will bring about a holistic overview of this issue by the experts in various fields. ‎

摘要

未标注

引入本案例研究的主要目的是创建一个平台,通过该平台可以在各个调查领域内及跨领域强调和讨论道路交通相关伤害与创伤的重要性。长期目标是围绕对更高道路安全措施未满足的需求引发公众运动,以降低伤害与创伤的一级、二级和三级风险。

案例

一名怀孕28周、胎儿孕龄16周的孕妇遭遇道路车祸,导致多处创伤。在当地紧急护理单元开始评估和治疗,并在急诊科和手术室继续进行。患者接受了以下手术:剖腹术、转流性结肠造口术、终止妊娠、右跟骨牵引和长腿夹板固定,以及多次冲洗清创。最后,伤口敞开,患者被收入重症监护病房。我们希望引入此案例进行“临床病例讨论会”讨论,将引发关于车祸中孕妇相关伤害与创伤预防措施以及治疗方法的全面讨论,并使各领域专家对该问题有一个全面的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/427d/3134918/96192d88f7ce/jivr-03-55-g001.jpg

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本文引用的文献

1
Early pregnancy failure--current management concepts.早期妊娠失败——当前的管理理念
Obstet Gynecol Surv. 2001 Feb;56(2):105-13. doi: 10.1097/00006254-200102000-00024.
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Trauma in pregnancy: maternal and fetal outcomes.妊娠期创伤:母体和胎儿结局
J Trauma. 1998 Jul;45(1):83-6. doi: 10.1097/00005373-199807000-00018.
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Trauma in pregnancy. Predicting pregnancy outcome.妊娠期创伤。预测妊娠结局。
Arch Surg. 1991 Sep;126(9):1079-86. doi: 10.1001/archsurg.1991.01410330033004.

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