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[重症医学中妊娠患者的特殊病理学]

[Special pathologies of pregnant patients in intensive care medicine].

作者信息

Neuhaus Sophie, Neuhaus Christopher, Weigand Markus A, Bremerich Dorothee

机构信息

Klinik für Anästhesiologie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland.

Klinik für Anästhesiologie, Universitätsmedizin Mainz, Mainz, Deutschland.

出版信息

Anaesthesist. 2021 Aug;70(8):717-730. doi: 10.1007/s00101-021-00946-3. Epub 2021 Apr 13.

DOI:10.1007/s00101-021-00946-3
PMID:33851230
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8043427/
Abstract

As the incidence of diseases during pregnancy that necessitate intensive medical care is very low, intensive care physicians are faced with a multitude of unfamiliar challenges in the treatment of these patients. The physiological and pathophysiological alterations during pregnancy induce some specific features with respect to the intensive medical treatment of pregnant or postpartum patients. After the most important principles and current recommendations on the care of pregnant or postpartum patients who need intensive medical treatment were dealt with in the first article in this CME series, the second article focuses on the diagnostics and treatment of special selected pathologies.

摘要

由于孕期需要重症医疗护理的疾病发病率很低，重症监护医生在治疗这些患者时面临着诸多不熟悉的挑战。孕期的生理和病理生理改变在对孕妇或产后患者进行重症医疗方面呈现出一些特定特征。在本继续医学教育系列的第一篇文章中讨论了对需要重症医疗护理的孕妇或产后患者的最重要原则和当前建议之后，第二篇文章聚焦于特定选定病症的诊断和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5056/8043427/309809f4f156/101_2021_946_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5056/8043427/b87afed11ab5/101_2021_946_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5056/8043427/309809f4f156/101_2021_946_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5056/8043427/b87afed11ab5/101_2021_946_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5056/8043427/309809f4f156/101_2021_946_Fig2_HTML.jpg

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本文引用的文献

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Frequency and management of maternal infection in health facilities in 52 countries (GLOSS): a 1-week inception cohort study.52 个国家医疗机构中产妇感染的频率和管理情况（GLOSS）：一项为期一周的发病队列研究。
Lancet Glob Health. 2020 May;8(5):e661-e671. doi: 10.1016/S2214-109X(20)30109-1.
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Ocular sonography in pre-eclampsia: a simple technique to detect raised intracranial pressure?子痫前期的眼部超声检查：一种检测颅内压升高的简单技术？
Int J Obstet Anesth. 2020 Feb;41:1-6. doi: 10.1016/j.ijoa.2019.09.002. Epub 2019 Sep 20.
3
Extracorporeal Therapies for Amniotic Fluid Embolism.
羊水栓塞的体外治疗。
Obstet Gynecol. 2019 Nov;134(5):989-994. doi: 10.1097/AOG.0000000000003513.
4
Focus-assessed transthoracic echocardiography: Implications in perioperative and intensive care.聚焦评估经胸超声心动图：在围手术期和重症监护中的意义
Ann Card Anaesth. 2019 Jul-Sep;22(3):302-308. doi: 10.4103/aca.ACA_88_18.
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Optic nerve ultrasound for fluid status assessment in patients with severe preeclampsia.视神经超声用于重度子痫前期患者的液体状态评估
Radiol Oncol. 2018 Nov 26;52(4):377-382. doi: 10.2478/raon-2018-0047.
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Ocular ultrasonography for diagnosing increased intracranial pressure in patients with severe preeclampsia.眼部超声检查用于诊断重度子痫前期患者的颅内压升高。
Int J Obstet Anesth. 2018 Nov;36:49-55. doi: 10.1016/j.ijoa.2018.06.005. Epub 2018 Jul 4.
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Sepsis in pregnancy and the puerperium.妊娠期及产褥期脓毒症
Int J Obstet Anesth. 2018 Nov;36:96-107. doi: 10.1016/j.ijoa.2018.04.010. Epub 2018 Jun 18.
8
The Surviving Sepsis Campaign Bundle: 2018 update.拯救脓毒症运动集束化治疗方案：2018年更新版
Intensive Care Med. 2018 Jun;44(6):925-928. doi: 10.1007/s00134-018-5085-0. Epub 2018 Apr 19.
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Conservative versus active management in HELLP syndrome: results from a cohort study.HELLP综合征的保守治疗与积极治疗：一项队列研究的结果
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