一名脑死亡母亲经阴道分娩出健康婴儿。
Healthy baby delivered vaginally from a brain-dead mother.
作者信息
Kinoshita Yoshihiro, Kamohara Hidenobu, Kotera Atsushi, Sagishima Katsuyuki, Tashiro Takahiro, Niimori Daisuke
机构信息
Intensive Care Unit Kumamoto University Hospital Kumamoto City Kumamoto Japan.
出版信息
Acute Med Surg. 2014 Dec 15;2(3):211-213. doi: 10.1002/ams2.95. eCollection 2015 Jul.
CASE
A pregnant (20 gestational weeks) 32-year-old woman was found in cardiac arrest. Spontaneous circulation returned after 15 min. She became brain dead on the 13th hospital day. The patient was in stable circulatory condition under nasal desmopressin and 20-30 mg/day of hydrocortisone. On the 92nd hospital day at gestational week 33 + 3 days, natural labor began and a healthy 2,130-g girl (Apgar 6/8) was delivered vaginally with minimum assistance.
OUTCOME
The baby was discharged 40 days after birth and followed up regularly.
CONCLUSION
Brain death remains a hopeless condition for patients, but a brain-dead woman may still be able to naturally deliver a healthy baby.
病例
一名32岁的孕妇（孕20周）发生心脏骤停。15分钟后恢复自主循环。她在住院第13天脑死亡。患者在使用去氨加压素滴鼻以及每日20 - 30毫克氢化可的松的情况下循环状况稳定。在孕33⁺³周的住院第92天，自然分娩开始，一名健康的2130克女婴（阿氏评分6/8）在最小程度的辅助下经阴道分娩。
结果
婴儿出生40天后出院并接受定期随访。
结论
脑死亡对患者来说仍然是一种无望的状况，但脑死亡的女性仍有可能自然分娩出健康的婴儿。
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