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在母亲致命性脑损伤后进行了10周的生命维持治疗,胎儿结局成功。

Life support for 10 weeks with successful fetal outcome after fatal maternal brain damage.

作者信息

Heikkinen J E, Rinne R I, Alahuhta S M, Lumme J A, Koivisto M E, Kirkinen P P, Sotaniemi K A, Nuutinen L S, Järvinen P A

出版信息

Br Med J (Clin Res Ed). 1985 Apr 27;290(6477):1237-8. doi: 10.1136/bmj.290.6477.1237.

Abstract

A 31 year old woman in whom subarachnoid and intracerebral haemorrhage occurred during the second trimester of pregnancy was sustained in intensive care with a respirator for 10 weeks. Computed tomography of the brain showed bilateral intraventricular haemorrhages. Because of drug resistant hypotonic episodes at 31 weeks' gestation caesarean section was performed, and a boy was delivered. The woman died of spontaneous cardiac arrest two days after caesarean section, and the boy showed normal development. Life support can be continued for several weeks in a modern intensive care unit after fatal insult to the brain even in a pregnant woman without affecting the fetus.

摘要

一名31岁女性在妊娠中期发生蛛网膜下腔和脑内出血,在重症监护室使用呼吸机维持治疗10周。脑部计算机断层扫描显示双侧脑室内出血。由于在妊娠31周时出现耐药性低血压发作,遂行剖宫产,娩出一名男婴。该女性在剖宫产后两天死于心脏骤停,而男婴发育正常。即使是孕妇,在脑部遭受致命损伤后,现代重症监护病房也可继续进行数周的生命支持,且不影响胎儿。

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