Härtl R, Ko K
Aitken Neuroscience Institute, Jamaica Hospital-Cornell University Trauma Center, New York, New York, USA.
J Trauma. 1996 Sep;41(3):549-52. doi: 10.1097/00005373-199609000-00031.
In this report the authors discuss the unique case of a 19-year-old pregnant victim of a motor vehicle crash, who did not have significant injuries but in whom a fracture of the fetal skull was diagnosed. Several traumatic intrauterine fetal skull fractures have been reported over the last 100 years. In the vast majority of episodes, severe maternal trauma involving fractures of the pelvis has been causally related to the injured infant. There has not been a previous report of a motor-vehicle-associated fetal skull fracture in the absence of maternal injury with dual good outcomes. After cesarean section necessitated by fetal distress, both the baby and the mother made an excellent recovery. This case underscores the importance of a thorough examination of every pregnant trauma victim and her infant, even when there are no detectable maternal injuries.
在本报告中，作者讨论了一名19岁机动车碰撞事故怀孕受害者的独特病例，她没有严重受伤，但被诊断为胎儿颅骨骨折。在过去100年里，已有数例创伤性胎儿颅骨骨折的报道。在绝大多数病例中，涉及骨盆骨折的严重母体创伤与受伤婴儿存在因果关系。此前尚无在无母体损伤情况下发生机动车相关胎儿颅骨骨折且母婴均预后良好的报道。因胎儿窘迫而行剖宫产术后，婴儿和母亲均恢复良好。该病例强调了对每一位怀孕创伤受害者及其婴儿进行全面检查的重要性，即使未发现母体损伤。
