产妇濒死行剖宫产术娩活婴 1 例并文献复习
Perimortem Caesarean section because of a live fetus: case report and literature review.
机构信息
Department of Gynaecology and Obstetrics, General Hospital Tešanj, Braće Pobrić 17, 74260, Tešanj, Bosnia and Herzegovina.
Department of Anatomy, School of Medicine, University of Tuzla, Tuzla, Bosnia and Herzegovina.
出版信息
Wien Med Wochenschr. 2023 Mar;173(3-4):74-77. doi: 10.1007/s10354-021-00847-5. Epub 2021 May 5.
BACKGROUND
Perimortem Caesarean section (PMCS) is a rare surgical procedure that is potentially lifesaving for mother and child.
AIM
To describes a live fetus 1 h after maternal cardiac arrest and a rare hospital surgical event, PMCS.
CASE REPORT
We report on a 22-year-old gravida 1 para 1 woman who had a convulsive loss of consciousness at 31 weeks' gestation. A convulsive loss of consciousness was accompanied by profuse vomiting of gastric contents. Cardiopulmonary resuscitation was initiated. Fetal heartbeats were recorded and the patient was referred to the Clinic for Gynecology and Obstetrics. Perimortem Caesarean section was performed. Neonatal cardiopulmonary resuscitation was initiated, but the infant was pronounced dead after 60 min of attempted resuscitation. Maternal cardiopulmonary resuscitation was without success and it was abandoned following discussion with family members.
CONCLUSION
A cooperative team approach is the key factor to producing a good perinatal outcome.
背景
围死亡期剖宫产术（PMCS）是一种罕见的手术，对母婴具有潜在的救生作用。
目的
描述 1 例产妇心脏骤停后存活的胎儿和罕见的医院手术事件，即 PMCS。
病例报告
我们报告了 1 例 22 岁初产妇 1 孕次的孕妇，她在 31 周妊娠时出现抽搐性意识丧失。抽搐性意识丧失伴有胃内容物大量呕吐。立即开始心肺复苏。记录胎儿心跳，并将患者转至妇产科诊所。进行围死亡期剖宫产术。启动新生儿心肺复苏，但在尝试复苏 60 分钟后，婴儿被宣布死亡。产妇心肺复苏没有成功，在与家属讨论后放弃。
结论
协作团队方法是获得良好围产期结局的关键因素。
Zotero 插件