Unsür V, Oztopçu C, Atalay C, Alpay E, Turhanoglu B
Department of Obstetrics and Gynecology, Ankara Numune Hospital, Turkey.
Eur J Obstet Gynecol Reprod Biol. 1996 Jan;64(1):55-8. doi: 10.1016/0301-2115(95)02272-4.
Out of 917 burn victims admitted to the Burn Unit of Ankara Numune Hospital between 1986 and 1994, the records of 11 pregnant patients were scrutinized retrospectively. All patients were classified by using the rule of 9's. Two maternal deaths (18%) occurred in patients with burns involving more than 50% of the skin surface area and there were four fetal deaths (36%) which occurred less than 72 h after the burns. These findings support the views that maternal and perinatal outcome is related to the burn severity (surface area + depth), to the presence or absence of complications and to the gestational age of the fetus. In view of the high perinatal mortality, in any patient with extensive burns who is more than 32 weeks pregnant, the fetus should be delivered soon after admission.
在1986年至1994年间入住安卡拉努穆内医院烧伤科的917名烧伤患者中，对11名孕妇的记录进行了回顾性审查。所有患者均采用九分法进行分类。两名产妇死亡（18%）发生在烧伤面积超过体表面积50%的患者中，四名胎儿死亡（36%）发生在烧伤后72小时内。这些发现支持了以下观点，即孕产妇和围产期结局与烧伤严重程度（表面积+深度）、并发症的有无以及胎儿的孕周有关。鉴于围产期死亡率较高，对于任何孕周超过32周的大面积烧伤患者，应在入院后尽快分娩胎儿。
