Rayburn W, Smith B, Feller I, Varner M, Cruikshank D
Obstet Gynecol. 1984 Mar;63(3):392-5.
The authors reviewed the fetal outcomes for 30 pregnant patients who required hospitalization for burns that involved 11 to 97% of the total body area. A positive relationship was found between the percentage of maternal total body burn and maternal mortality, fetal mortality, and premature delivery. Premature delivery and/or fetal mortality occurred primarily within the first five days and followed maternal complications of hypovolemic shock, sepsis, or respiratory insufficiency. In the eight cases in which maternal injury became lethal (20 to 97% total body burn), all fetuses were born spontaneously before maternal death, but seven were stillborn. After overcoming the immediate postburn period, a healthy-appearing term-size infant was likely to be born while the mother continued to receive intensive therapy. The ideal treatment to protect the fetus has not yet been determined.
作者回顾了30例因烧伤需住院治疗的孕妇的胎儿结局，这些孕妇的烧伤面积占全身总面积的11%至97%。研究发现，孕妇全身烧伤的比例与孕产妇死亡率、胎儿死亡率和早产之间呈正相关。早产和/或胎儿死亡主要发生在头五天内，且与孕产妇低血容量性休克、败血症或呼吸功能不全等并发症有关。在8例孕产妇因伤致死（全身烧伤20%至97%）的病例中，所有胎儿均在母亲死亡前自然分娩，但7例为死产。在度过烧伤后的急性期后，当母亲继续接受强化治疗时，有可能分娩出外观健康、足月大小的婴儿。目前尚未确定保护胎儿的理想治疗方法。
