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一名长期患有腹腔内玻璃碎片残留的孕妇生下一名无并发症的活婴:病例报告。

A pregnant woman with long-standing, retained intraabdominal glass shards who gave birth to a live infant with no complications: a case report.

机构信息

Division of Maternal and Fetal Medicine, Center for Maternal, Fetal and Neonatal Medicine, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama, 350-8550, Japan.

Department of Obstetrics and Gynecology, Saitama Medical Center, Saitama Medical University, Saitama, Japan.

出版信息

J Med Case Rep. 2024 Feb 25;18(1):74. doi: 10.1186/s13256-024-04392-8.

Abstract

BACKGROUND

Most cases of traumatic injury during pregnancy involve blunt trauma, with penetrating trauma being uncommonly rare. In glass shard injuries, fragments often penetrate deeply, and multiple injuries may occur simultaneously; attention must be paid to the possibility of organ injury from the residual fragments. However, no case of this occurring during pregnancy has been reported yet.

CASE PRESENTATION

We present the case of a 34-year-old pregnant Cameroonian woman who retained intraabdominal glass shards following a penetrating injury at 13 weeks gestation and not diagnosed until 22 weeks gestation. Notably, this patient continued the pregnancy without complications and gave birth via cesarean section at 36 weeks gestation.

CONCLUSION

In pregnant women sustaining a penetrating glass trauma during pregnancy, careful attention should be paid to the fragments; in that case, computed tomography is a useful modality for accurately visualizing any remaining fragments in the body. Essentially, the foreign bodies in glass shard injuries during pregnancy should be removed immediately, but conservative management for term delivery is an important choice for patients at risk for preterm delivery.

摘要

背景

大多数妊娠期间的创伤性损伤是钝性创伤,穿透性创伤罕见。在玻璃碎片伤中,碎片往往会深入穿透,并且可能同时发生多处损伤;必须注意残留碎片导致器官损伤的可能性。然而,目前尚未有妊娠期间发生此类损伤的报道。

病例介绍

我们介绍了一位 34 岁的喀麦隆孕妇的病例,她在妊娠 13 周时受到穿透性损伤后,腹部内残留玻璃碎片,直到妊娠 22 周才被诊断出来。值得注意的是,该患者继续妊娠且无并发症,并在妊娠 36 周时通过剖宫产分娩。

结论

对于在妊娠期间遭受穿透性玻璃创伤的孕妇,应仔细注意碎片;在这种情况下,计算机断层扫描是一种有用的方法,可以准确地观察到体内任何残留的碎片。本质上,妊娠期间玻璃碎片伤中的异物应立即取出,但对于有早产风险的患者,等待足月分娩的保守治疗是一个重要的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4c1/10894482/7e5c07a4c2dd/13256_2024_4392_Fig1_HTML.jpg

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