Rode H, Millar A J, Cywes S, Bloch C E, Boes E G, Theron E J, Lodder J V, van der Merwe A E, de Kock M
Department of Paediatric Surgery, University of Cape Town.
S Afr Med J. 1990 Apr 7;77(7):346-8.
Thermal injury sustained during pregnancy presents special management problems for the gravid woman and her unborn child. Because of the reported high morbidity and mortality and lack of available data in South Africa, a multicentre retrospective review was undertaken by five burn centres. Thirty-three patients (average age 25,7 years) with mean 30% (range 1-80%) total body surface area burn were assessed. A review of the clinical material led to the following observations and conclusions. Pregnancy does not influence maternal outcome after thermal injury and maternal survival is usually accompanied by fetal survival in the absence of significant maternal complications. Maternal survival is less likely if the burn wound exceeds 50% total body surface area. Thermal injury does increase the risk of spontaneous abortion and premature labour, and fetal survival depends on fetal maturity. Early obstetric intervention is only indicated in the gravely ill patient where complications (hypoxia, hypotension, sepsis) jeopardize the life of a viable fetus. The mode of delivery should be determined by obstetric considerations.
孕期遭受热损伤给孕妇及其未出生的孩子带来了特殊的管理问题。鉴于南非报道的高发病率和死亡率以及缺乏可用数据，五个烧伤中心进行了一项多中心回顾性研究。评估了33例患者（平均年龄25.7岁），平均烧伤总面积为30%（范围1%-80%）。对临床资料的回顾得出了以下观察结果和结论。热损伤后，妊娠不影响母亲的预后，在没有严重母亲并发症的情况下，母亲存活通常伴随着胎儿存活。如果烧伤创面超过体表面积的50%，母亲存活的可能性较小。热损伤确实会增加自然流产和早产的风险，胎儿存活取决于胎儿成熟度。早期产科干预仅适用于病情严重且并发症（缺氧、低血压、败血症）危及存活胎儿生命的患者。分娩方式应由产科因素决定。
