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妊娠与创伤:139例病例分析

Pregnancy and trauma: analysis of 139 cases.

作者信息

Karadaş Sevdegül, Gönüllü Hayriye, Oncü Mehmet Reşit, Kurdoğlu Zehra, Canbaz Yasin

机构信息

Department of Emergency Medicine, Faculty of Medicine, Yüzüncü Yıl University, Van, Turkey.

Clinic of Emergency Service, Van Training and Research Hospital, Van, Turkey.

出版信息

J Turk Ger Gynecol Assoc. 2012 Jun 1;13(2):118-22. doi: 10.5152/jtgga.2012.13. eCollection 2012.

Abstract

OBJECTIVE

The aim of this study was to examine the diagnoses and treatment methods and demographical and clinical characteristics of pregnant women who were exposed to trauma and in additon, review of the literature was carried out in this regard.

MATERIAL AND METHODS

One hundred thirty-nine pregnant women who presented at the Yüzüncü Yıl University between January 2006 and September 2009 with local or general body trauma complaints were analysed retrospectively.

RESULTS

The average age of the cases was 26.72±6.29 years and the age group ranging from 21-34 composed the majority. When they were studied according to their etiologies, falls during daily activities formed 43.9%. When they were analyzed in terms of their gestational weeks, 64.46% were in the 3(rd) trimester. Pregnant cases with trauma resulted in maternal (3 cases) and fetal (9 cases) loss. It was found that 19 cases who had imaging techniques involving radiation and whose gestation was continuing had a problem-free gestation period and healthy children.

CONCLUSION

It is mandatory to evaluate both mother and fetus together when trauma exposure is in question, the general well-being of the fetus should be provided and the mother should be informed about the presence of advanced trauma life support.

摘要

目的

本研究旨在探讨遭受创伤的孕妇的诊断、治疗方法以及人口统计学和临床特征,此外,还就此进行了文献综述。

材料与方法

回顾性分析了2006年1月至2009年9月期间在尤祖恩居尔大学因局部或全身创伤主诉就诊的139名孕妇。

结果

病例的平均年龄为26.72±6.29岁,21 - 34岁年龄组占大多数。按病因研究时,日常活动中摔倒占43.9%。按孕周分析时,64.46%处于孕晚期。创伤孕妇导致3例母体死亡和9例胎儿死亡。发现19例接受了涉及辐射的影像检查且妊娠仍在继续的孕妇,孕期无问题且产下健康婴儿。

结论

当涉及创伤暴露时,必须同时评估母亲和胎儿,应保障胎儿的总体健康,并告知母亲存在高级创伤生命支持措施。

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引用本文的文献

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本文引用的文献

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