Department of Anaesthesia, Northwick Park Hospital, Harrow, UK.
Int J Obstet Anesth. 2012 Jan;21(1):56-67. doi: 10.1016/j.ijoa.2011.11.001. Epub 2011 Dec 12.
Sepsis in pregnancy and the puerperium remains a significant cause of maternal mortality and morbidity worldwide. Major morbidity arising as a result of obstetric sepsis includes fetal demise, organ failure, chronic pelvic inflammatory disease, chronic pelvic pain, bilateral tubal occlusion and infertility. Early recognition and timely response are key to ensuring good outcome. This review examines the clinical problem of sepsis in obstetrics and the role of the anaesthetist in the management of this condition.
妊娠和产褥期脓毒症仍然是全世界孕产妇死亡和发病的重要原因。产科脓毒症导致的主要并发症包括胎儿死亡、器官衰竭、慢性盆腔炎、慢性盆腔痛、双侧输卵管阻塞和不孕。早期识别和及时应对是确保良好结局的关键。本文回顾了产科脓毒症的临床问题以及麻醉医生在该疾病管理中的作用。
