Sakamoto Jeffrey, Michels Collin, Eisfelder Bryn, Joshi Nikita
Department of Emergency Medicine, Stanford University, 900 Welch Road, Suite 350, Palo Alto, CA 94304, USA.
Alameda Health Systems, 490 Grand Avenue, Oakland, CA 94610, USA.
Emerg Med Clin North Am. 2019 May;37(2):317-338. doi: 10.1016/j.emc.2019.01.009. Epub 2019 Mar 8.
Although trauma in pregnancy is rare, it is one of the most common causes of morbidity and mortality to pregnant women and fetus. Pathophysiology of trauma is generally time sensitive, and this is still true in pregnant patients, with the additional challenge of rare presentation and balancing the management of two patients concurrently. Successful resuscitation requires understanding the physiologic changes to the woman throughout the course of pregnancy. Ultimately, trauma management is best approached by prioritizing maternal resuscitation.
尽管孕期创伤很少见，但它是导致孕妇和胎儿发病和死亡的最常见原因之一。创伤的病理生理学通常对时间敏感，在孕妇中也是如此，此外还面临着表现罕见以及同时兼顾两名患者治疗的挑战。成功的复苏需要了解女性在整个孕期的生理变化。最终，创伤管理的最佳方法是优先进行产妇复苏。
