Gunevsel Ozlem, Yesil Onur, Ozturk Tuba Cimilli, Cevik Sebnem Eren
Associate Professor, Department of Emergency Medicine, School of Medicine, Marmara University, □stanbul, Turkey.
J Res Med Sci. 2011 Aug;16(8):1089-91.
Perimortem caesarean section is an ethically difficult decision for emergency medicine resuscitation teams. A 34-years-old woman was attacked by her husband with a gunshot. At the time arrival to the emergency room, there was no pulse, no spontaneous breath and blood pressure was unobtainable. Although extensive advanced cardiopulmonary resuscita-tion was performed for 7 minutes, no cardiac activity was regained. During the cardiopulmonary resuscitation efforts, an abdominal ultrasonography was performed and revealed a fetal heart rate with bradycardia. Low segment caesarean section was performed by the obstetrician in the resuscitation room and a female newborn was delivered within less than one minute of the skin incision. Decision on terminating the CPR efforts should not be made in maternal cardiac arrests older than 28 weeks' gestational age, unless the viability of the fetus had been evaluated.
濒死剖宫产对于急诊医学复苏团队来说是一个伦理难题。一名34岁女性遭丈夫枪击。到达急诊室时，已无脉搏、无自主呼吸且血压测不出。尽管进行了7分钟广泛的高级心肺复苏，但仍未恢复心脏活动。在心肺复苏过程中，进行了腹部超声检查，发现胎儿心率缓慢。产科医生在复苏室进行了低位剖宫产，皮肤切开不到一分钟便娩出一名女婴。对于孕周超过28周的产妇心脏骤停，除非已评估胎儿的存活能力，否则不应决定终止心肺复苏。
