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[急诊剖宫产与产房跨学科应急概念——“紧急情况怎么办?”]

[Emergency caesarean section and interdisciplinary emergency concepts for the delivery room - "What to do if it is urgent?"].

作者信息

Kaufner Lutz, Weizsäcker Katharina, Spies Claudia, Feldheiser Aarne, von Heymann Christian

机构信息

Charité - Universitätsmedizin Berlin.

出版信息

Anasthesiol Intensivmed Notfallmed Schmerzther. 2012 Jan;47(1):14-21. doi: 10.1055/s-0032-1301375. Epub 2012 Jan 27.

Abstract

Resolute and rapid action in obstetric emergencies is essential for the child and/or maternal survival. Therefore emergency caesarean section and the emergency actions for peripartal haemorrhage, shoulder dystocia, fetal bradycardia, hypertension and embolism should be interdisciplinarily coordinated. Interdisciplinary emergency concepts for the major complications could help to optimise their therapy taking structural conditions and legal requirements into account. Emergency concepts should include the alarm- procedure, communication, logistics, the priority steps in therapy as well as the analysis of the passed obstetric emergency. A regular interdisciplinary training of the major obstetric emergencies may help to avoid unnecessary loss of time.

摘要

在产科急症中采取果断迅速的行动对胎儿和/或产妇的存活至关重要。因此,急诊剖宫产以及针对分娩期出血、肩难产、胎儿心动过缓、高血压和栓塞的急救措施应进行跨学科协调。针对主要并发症的跨学科急救方案有助于在考虑结构条件和法律要求的情况下优化治疗。急救方案应包括警报程序、沟通、后勤、治疗的优先步骤以及对已发生的产科急症的分析。对主要产科急症进行定期的跨学科培训可能有助于避免不必要的时间浪费。

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