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妊娠期间因阿片类药物过量导致心肺骤停病例报告。

Case Report of Cardiopulmonary Arrest During Pregnancy due to Opioid Overdose.

出版信息

J Obstet Gynecol Neonatal Nurs. 2021 Mar;50(2):205-213. doi: 10.1016/j.jogn.2020.11.003. Epub 2021 Jan 19.

DOI:10.1016/j.jogn.2020.11.003
PMID:33482106
Abstract

In the United States, the number of deaths related to overdose of heroin and other opioids, specifically among women of reproductive age, has been rising. This case report adds new knowledge to the limited scientific literature currently available. We describe the care of a 30-year-old pregnant (31.4 weeks gestation) woman who was found unresponsive from a suspected opioid overdose in a friend's home. In response to an unwitnessed cardiopulmonary arrest, the team initiated therapeutic hypothermia 12 hours after the event. Multiple interdisciplinary teams came together to care for this woman and fetus. Information sharing among care providers from multiple disciplines is needed to build expertise in managing the care of pregnant women who experience opioid overdose.

摘要

在美国,与海洛因和其他类阿片药物过量有关的死亡人数不断上升,尤其是在育龄期妇女中。本病例报告为目前有限的科学文献增添了新知识。我们描述了一位 30 岁孕妇(31.4 周妊娠)的护理情况,她在朋友家中被发现因疑似阿片类药物过量而失去反应。针对无人见证的心肺骤停,团队在事件发生后 12 小时启动了治疗性低温。多个跨学科团队共同照顾这位女性及其胎儿。需要在多个学科的护理提供者之间进行信息共享,以建立管理经历阿片类药物过量的孕妇护理的专业知识。

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