Fischer C, Bonnet M P, Girault A, Le Ray C
Department of Anesthesiology and Critical Care, Hôpital Cochin, Hôpitaux Universitaire Paris Centre, Assistance Publique- Hôpitaux de Paris, France.
Department of Anesthesiology and Critical Care, Hôpital Cochin, Hôpitaux Universitaire Paris Centre, Assistance Publique- Hôpitaux de Paris, France; INSERM U1153, Obstetrical, Perinatal and Pediatric Epidemiology Research team (EPOPé), Center for Epidemiology and Statistics Sorbonne Paris Cité, DHU Risks in Pregnancy, Paris Descartes University, Paris, France.
J Gynecol Obstet Hum Reprod. 2019 May;48(5):309-314. doi: 10.1016/j.jogoh.2019.02.007. Epub 2019 Feb 20.
The incidence of maternal cardiac arrest ranges from 1/55,000 to 1/12,000 births. It is due most frequently to cardiovascular, hemorrhagic, and anesthesia-related causes, as well as to amniotic fluid embolism. The basic principles of resuscitation remain applicable in this situation, but the physiological modifications of pregnancy must be taken into account, in particular, the aortocaval compression syndrome. After 24 weeks of gestation, a salvage cesarean delivery must be performed immediately, without transfer to the operating room, if resuscitation maneuvers have failed 4 min after arrest, because this interval conditions the mother's neurological prognosis and improves neonatal survival.
孕产妇心脏骤停的发生率为每55,000至12,000次分娩中有1例。其最常见的原因是心血管、出血、麻醉相关因素以及羊水栓塞。复苏的基本原则在这种情况下仍然适用，但必须考虑到孕期的生理变化，尤其是主动脉腔静脉压迫综合征。妊娠24周后，如果心脏骤停4分钟后复苏措施失败，必须立即进行紧急剖宫产，无需转至手术室，因为这段时间决定了母亲的神经预后并提高新生儿存活率。
