巴基斯坦妊娠期创伤性脊髓损伤的后果。
Consequences of traumatic spinal cord injury during pregnancy in Pakistan.
作者信息
Arsh Aatik, Darain Haider, Ilyas Syed Muhammad, Zeb Amir
机构信息
Physiotherapist Paraplegic Centre, Peshawar, Pakistan.
Assistant Professor Khyber Medical University, Peshawar, Pakistan.
出版信息
Spinal Cord Ser Cases. 2017 Jul 13;3:17041. doi: 10.1038/scsandc.2017.41. eCollection 2017.
INTRODUCTION
Traumatic spinal cord injury (SCI) is one of the major causes for poor outcomes of pregnancy. Injury during pregnancy is uncommon; therefore, outcome data are scarce. This case series presents outcomes of pregnancy in five women who sustained SCI during their pregnancies.
CASE PRESENTATION
Five women who sustained SCIs during pregnancy (age range: 24-38 years) were identified and included in this case series. The causes of SCI in this population were fall from heights (cases 1 and 2), road traffic accidents (cases 3 and 4) and firearm injury (case 5). Two of the females were managed conservatively (cases 1 and 5) and the rest underwent surgical procedures for fixing their spine. Out of these patients, four patients delivered normal healthy babies, while the baby of one patient died within 1 hour after delivery.
DISCUSSION
Limited data about the outcomes of pregnancy in women who sustained SCIs during pregnancy are available in the literature. The outcomes of pregnancy in women who sustained SCIs during the first trimester are not satisfactory, and special attention may be needed to improve the expected outcomes. Data from our study show similar findings to developed countries.
引言
创伤性脊髓损伤（SCI）是导致妊娠结局不良的主要原因之一。孕期发生脊髓损伤的情况并不常见；因此，相关结局数据稀缺。本病例系列介绍了五名在孕期发生脊髓损伤的女性的妊娠结局。
病例介绍
确定了五名在孕期发生脊髓损伤的女性（年龄范围：24 - 38岁）并纳入本病例系列。该人群中脊髓损伤的原因包括高处坠落（病例1和2）、道路交通事故（病例3和4）以及火器伤（病例5）。其中两名女性接受了保守治疗（病例1和5），其余患者接受了脊柱固定手术。在这些患者中，四名患者分娩出正常健康的婴儿，而一名患者的婴儿在出生后1小时内死亡。
讨论
文献中关于孕期发生脊髓损伤的女性妊娠结局的数据有限。孕早期发生脊髓损伤的女性的妊娠结局并不理想，可能需要特别关注以改善预期结局。我们研究的数据显示出与发达国家相似的结果。
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