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孕妇腹部钝性创伤导致胎儿出现偏瘫型痉挛性脑瘫和永久性眼损伤。

Blunt abdominal trauma to a pregnant woman resulting in a child with hemiplegic spastic cerebral palsy and permanent eye damage.

作者信息

Taha Elmuntasir, Nasralla Khalid, Khalid Abdulrahman, Ali Abdelaziem A

机构信息

Department of Obstetrics and Gynecology, Faculty of Medicine, Kassala University, P,O, Box 496, Kassala, Sudan.

出版信息

BMC Res Notes. 2013 Dec 6;6:517. doi: 10.1186/1756-0500-6-517.

DOI:10.1186/1756-0500-6-517
PMID:24314440
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3878962/
Abstract

BACKGROUND

In today's life trauma is a common and important complication of pregnancy and remains one of the major contributors to maternal and fetal morbidity and mortality.

CASE PRESENTATION

The authors reported a case of 4 years old child with hemiplegic spastic cerebral palsy and permanent left eye damage due to antenatal trauma. He was an off spring to a 33 years old woman gravida 6 para 5 from western Sudan, who sustained a domestic blunt abdominal trauma during her routine daily activities. The abdominal trauma occurred during the third trimester at 36th week gestation of the pregnancy when the mother hit herself by the woody part of an axe non intentionally.

CONCLUSIONS

The findings from this case conclude that relatively minor trauma can have significant adverse effects on the fetus and can be devastating.

摘要

背景

在当今生活中,创伤是妊娠常见且重要的并发症,仍是孕产妇和胎儿发病及死亡的主要原因之一。

病例报告

作者报告了一例4岁儿童因产前创伤导致偏瘫型痉挛性脑瘫和左眼永久性损伤的病例。他是一名来自苏丹西部的33岁女性的后代,该女性怀孕6次,分娩5次,在日常活动中遭受了一次家庭钝性腹部创伤。腹部创伤发生在妊娠晚期第36周,当时母亲不小心被斧头的木质部分击中。

结论

该病例的研究结果表明,相对较小的创伤可能对胎儿产生重大不利影响,且可能是毁灭性的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e59e/3878962/a0fcd10c2679/1756-0500-6-517-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e59e/3878962/8054b19d6308/1756-0500-6-517-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e59e/3878962/a0fcd10c2679/1756-0500-6-517-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e59e/3878962/8054b19d6308/1756-0500-6-517-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e59e/3878962/a0fcd10c2679/1756-0500-6-517-2.jpg

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Motor vehicle accidents during pregnancy: a population-based study.妊娠期机动车事故:一项基于人群的研究。
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Pregnancy course and outcome following blunt trauma.
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[Minor trauma during pregnancy can cause severe fetomaternal hemorrhage].
Duodecim. 2011;127(16):1727-31.
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Acute traumatic gonadal vein rupture in a pregnant patient involved in a major motor vehicle collision.
一名孕妇在严重机动车碰撞事故中发生急性创伤性性腺静脉破裂。
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Abdominal injuries in pregnancy: a 155-month study at two level 1 trauma centers.妊娠腹部损伤:两家一级创伤中心的 155 个月研究。
Injury. 2011 Jan;42(1):47-9. doi: 10.1016/j.injury.2010.06.026.
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Predictors of fetal outcome in pregnant trauma patients: a five-year institutional review.创伤孕妇胎儿结局的预测因素:一项为期五年的机构回顾
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Trauma during pregnancy.孕期创伤。
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