Pawar Sujeet J, Anjankar Vaibhav P, Anjankar Ashish, Adnan Mohammad
Anatomy, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Biochemistry, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2023 Feb 20;15(2):e35219. doi: 10.7759/cureus.35219. eCollection 2023 Feb.
Massive pulmonary embolism (PE) is an uncommon but severe complication of pregnancy or during the first few weeks after giving birth. Our intention was to thoroughly analyze the information available to its management methods. Significant bleeding of mother survival and early deliveries in fetal survivals were having hemorrhage and were having key outcomes. We found 127 severe PE cases that have had at least one form of treatment (at least 83% big; 23% with cardiac arrest). The 83 women who received thrombolysis had a 94% (95%) survival rate. Cardiac arrest in pregnancy is uncommon, although maintaining current competency can be challenging. While maternal mortality rates have decreased globally over the past 25 years, they have increased in the United States. The intricacy of the maternal mortality issue is a result of a number of clinical and socioeconomic problems such as unequal healthcare access, racial and ethnic disparities, maternal comorbidities, and bias in epidemiologic ascertainment. The importance of doctors being prepared to react to a potential maternal cardiac arrest in any situation where they are providing treatment for pregnant women is highlighted by the rise in maternal mortality. For the treatment of maternal cardiac arrest, an interdisciplinary team with expertise in both the maternal resuscitation procedure and the physiological changes that take place during pregnancy is necessary. Additionally offered are basic and advanced cardiac life support protocols. Techniques to remove obstacles like aortocaval compression that could impair the effectiveness of resuscitation should be used.
大面积肺栓塞（PE）是妊娠期间或产后最初几周内一种罕见但严重的并发症。我们的目的是全面分析其治疗方法的现有信息。母亲存活的严重出血和胎儿存活的早产伴有出血是关键结局。我们发现127例严重肺栓塞病例至少接受了一种治疗形式（至少83%病情严重；23%发生心脏骤停）。接受溶栓治疗的83名女性的存活率为94%（95%）。妊娠期间心脏骤停并不常见，尽管保持当前的救治能力具有挑战性。虽然在过去25年全球孕产妇死亡率有所下降，但在美国却有所上升。孕产妇死亡问题的复杂性是由一些临床和社会经济问题导致的，如医疗保健获取不平等、种族和民族差异、孕产妇合并症以及流行病学确定中的偏差。孕产妇死亡率的上升凸显了医生在为孕妇提供治疗的任何情况下准备应对潜在孕产妇心脏骤停的重要性。对于孕产妇心脏骤停的治疗，需要一个在孕产妇复苏程序和妊娠期间发生的生理变化方面都具有专业知识的跨学科团队。此外还提供基础和高级心脏生命支持方案。应采用技术消除诸如主动脉腔静脉压迫等可能损害复苏效果的障碍。
