Deitch E A, Rightmire D A, Clothier J, Blass N
Surg Gynecol Obstet. 1985 Jul;161(1):1-4.
Although few women sustain thermal injuries during pregnancy, when pregnancy is complicated by thermal injury a clear management scheme plus a team approach is needed to provide optimal care to both the fetus and mother. The clinical courses of 11 pregnant women treated at the Louisiana State University Medical Center after sustaining thermal injuries were reviewed and combined with 29 other instances from the literature. Fetal survival before 28 weeks of gestation appears to be dependent upon maternal survival. After 32 weeks of gestational age, fetal survival becomes increasingly independent of maternal survival if fetal distress can be minimized. Although in general, optimal care of the fetus coincides with the care of the mother, occasionally the medical needs of the mother and fetus are different. Therefore, we have developed maternal and fetal medical care schemes to serve as general guidelines for the care of the pregnant patients with burns.
尽管孕期妇女很少遭受热损伤，但当孕期并发热损伤时，需要一套明确的管理方案以及团队协作方法，以便为胎儿和母亲提供最佳护理。回顾了在路易斯安那州立大学医学中心接受治疗的11名热损伤孕妇的临床病程，并与文献中的其他29个病例相结合。妊娠28周前胎儿存活似乎取决于母亲的存活。孕32周后，如果能尽量减少胎儿窘迫，胎儿存活越来越独立于母亲的存活。虽然一般来说，对胎儿的最佳护理与对母亲的护理是一致的，但偶尔母亲和胎儿的医疗需求会有所不同。因此，我们制定了母婴医疗护理方案，作为烧伤孕妇护理的一般指导原则。
