Department of Plastic, Reconstructive and Aesthetic Surgery, Institute of Post Graduate Medical Education & Research, Kolkata, India.
Singapore Med J. 2012 Nov;53(11):e247-8.
Burn injury sustained during pregnancy is a serious clinical complication that requires individualisation of management. We describe the case of a 30-week pregnant woman who presented to the hospital in a state of shock with approximately 90% burn injuries. Resuscitation was carried out, and the patient's family consented to an emergency Caesarean section in view of the grave prognosis of such burn injuries. A live male infant was delivered via emergency Caesarean section. However, the mother succumbed to her injuries two days after the operation, while the baby was successfully resuscitated and discharged after ten days. This case highlights the importance of timely decision-making and coordination, which are required to salvage a near-term foetus. It also underscores that emergent resuscitation and timely operative procedures might be able to salvage a living foetus, particularly in patients with burns covering more than 60% of total body surface area.
孕妇烧伤是一种严重的临床并发症,需要个体化治疗。我们描述了这样一个病例:一名 30 周的孕妇因休克就诊,烧伤面积约 90%。进行了复苏,鉴于如此严重的烧伤预后不佳,患者家属同意紧急剖宫产。通过紧急剖宫产分娩了一名男婴。然而,母亲在手术后两天去世,而婴儿在十天后成功复苏并出院。这个病例强调了及时决策和协调的重要性,这对于挽救近足月胎儿至关重要。它还强调,紧急复苏和及时手术程序可能能够挽救存活的胎儿,特别是在烧伤面积超过 60%的患者中。