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孕期意外触电:一例病例反思

Accidental Electric Shock during Pregnancy: Reflection on a Case.

作者信息

Awwad Johnny, Hannoun Antoine, Fares Farah, Ghazeeri Ghina

机构信息

Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon.

出版信息

AJP Rep. 2013 Oct;3(2):103-4. doi: 10.1055/s-0033-1348403. Epub 2013 Jul 11.

Abstract

Objectives Data on fetal effects following accidental electric shock during pregnancy are scarce. We report on a case of accidental maternal electric shock associated with benign fetal arrhythmia in a woman at 28 weeks' gestation. Study Design Case report. Results Although electrocution involving low-voltage, low-frequency current has been associated with fatal cardiac arrhythmias and conduction abnormalities, two protective parameters in the present case likely reduced the fetal injury: the dry skin at the site of current entry and the hand-to-hand pathway of current flow. Conclusion Because the pathophysiology of electric injury is altered during pregnancy, assessment of fetal well-being should be prompted no matter how trivial an incident may appear.

摘要

目的 关于孕期意外触电后胎儿影响的数据稀缺。我们报告一例妊娠28周的孕妇意外触电并伴有胎儿良性心律失常的病例。研究设计 病例报告。结果 尽管涉及低电压、低频电流的触电与致命性心律失常和传导异常有关,但本病例中的两个保护因素可能减轻了对胎儿的损伤:电流进入部位的皮肤干燥以及电流的手到手传导路径。结论 由于孕期电损伤的病理生理学发生改变,无论事件看似多么微不足道,都应促使对胎儿健康状况进行评估。

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