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[创伤性心脏骤停心肺复苏期间的院前濒死剖宫产术:病例报告及经验教训]

[Prehospital perimortem cesarean section during cardiopulmonary resuscitation for traumatic cardiac arrest : Case report and lessons learned].

作者信息

Wolff Justus, Breuer Florian, von Kottwitz Konrad, Poloczek Stefan, Röschel Tom, Dahmen Janosch

机构信息

Charité Universitätsmedizin Berlin, Berlin, Deutschland.

Ärztliche Leitung Rettungsdienst Rheinisch-Bergischer Kreis, Amt für Feuerschutz und Rettungswesen, Bergisch Gladbach, Deutschland.

出版信息

Unfallchirurgie (Heidelb). 2023 Sep;126(9):727-735. doi: 10.1007/s00113-022-01220-w. Epub 2022 Aug 10.

Abstract

The following case report discusses the resuscitation of a pregnant woman in traumatic cardiac arrest after a fall from a height with consecutive resuscitative hysterotomy for maternal and fetal salvage. The report illustrates all lessons learned from critical appraisal amid new guideline recommendations and gives an overview of the published literature on the matter. Despite extensive resuscitation efforts, ultimately both the mother and the newborn were pronounced life extinct at the scene. Prehospital treatment of (traumatic) cardiac arrest in a pregnant patient as well as performing a perimortem cesarean section remain infrequent but challenging scenarios.

摘要

以下病例报告讨论了一名孕妇从高处坠落导致创伤性心脏骤停后的复苏情况,以及为挽救母婴而连续进行的复苏性子宫切开术。该报告阐述了在新的指南建议下通过批判性评估吸取的所有经验教训,并概述了关于此事的已发表文献。尽管进行了广泛的复苏努力,但最终母亲和新生儿均在现场被宣布死亡。对孕妇(创伤性)心脏骤停进行院前治疗以及实施濒死剖宫产仍然是罕见但具有挑战性的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8110/10449654/ef92190f4277/113_2022_1220_Fig1_HTML.jpg

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