Wiese Krista Shaw, Ernest Stacey, Dukes W Seth
Loma Linda University, Department of Emergency Medicine, Loma Linda, California.
Clin Pract Cases Emerg Med. 2020 Nov;4(4):623-625. doi: 10.5811/cpcem.2020.8.48388.
Uterine ruptures in blunt trauma are an extremely rare complication. Furthermore, while perimortem cesarean sections in cardiac arrest patients are a well-established practice in emergency medicine, cesarean sections in the emergency department are rarely performed on non-arresting patients.
A multigravida woman at approximately 24 weeks gestation presented as a transfer from an outside hospital after a motor vehicle collision. Upon arriving to our facility, she underwent an emergency cesarean section in the trauma bay and was found to have a uterine rupture with the fetus free floating in the right upper quadrant of the abdomen.
Uterine rupture is a rare but important complication of blunt abdominal trauma in pregnant patients. Resuscitative cesarean sections may be necessary for favorable outcomes. A well prepared and diversified team was essential to maternal survival.
钝性创伤导致的子宫破裂是一种极其罕见的并发症。此外，虽然心脏骤停患者的濒死剖宫产在急诊医学中是一种成熟的做法，但急诊科很少对非心脏骤停患者进行剖宫产。
一名孕约24周的经产妇在机动车碰撞后从外院转诊而来。抵达我院后，她在创伤急救区接受了急诊剖宫产，结果发现子宫破裂，胎儿游离于右上腹。
子宫破裂是妊娠患者钝性腹部创伤中罕见但重要的并发症。为获得良好结局，可能需要进行复苏性剖宫产。一个准备充分且多元化的团队对产妇的存活至关重要。
