Khajehdehi P, Rezaian G R
Department of Internal Medicine, Medical School, Shiraz University of Medical Sciences, Iran.
Int J Gynaecol Obstet. 1997 Aug;58(2):211-5. doi: 10.1016/s0020-7292(97)00086-6.
To compare the clinical course and outcome of patients with post-partum tetanus (n = 21) to those of non-post-partum ones (n = 24) and to determine the effect of early hysterectomy on the survival of cases with severe post-partum tetanus (n = 20).
In this prospective study we compared the clinical course and outcome of post-partum and non-post-partum cases of tetanus admitted to the intensive care unit. Moreover, early hysterectomy was done on every other patient with severe post-partum tetanus (n = 10). Chi-square and Student's t-tests were used for statistical purposes.
Post-partum cases were younger (P = 0.002), had a higher incidence of acute respiratory failure and a mortality rate compared to the non-post-partum group. In addition, early hysterectomy did not change the course of severe post-partum cases.
The mortality associated with post-partum tetanus is comparable to non-post-partum cases and early hysterectomy has no effect on its outcome.
比较产后破伤风患者（n = 21）与非产后破伤风患者（n = 24）的临床病程及结局，并确定早期子宫切除术对重症产后破伤风患者（n = 20）生存情况的影响。
在这项前瞻性研究中，我们比较了入住重症监护病房的产后和非产后破伤风病例的临床病程及结局。此外，对每例重症产后破伤风患者（n = 10）中的半数实施早期子宫切除术。采用卡方检验和学生t检验进行统计学分析。
与非产后组相比，产后病例更年轻（P = 0.002），急性呼吸衰竭发病率及死亡率更高。此外，早期子宫切除术并未改变重症产后病例的病程。
产后破伤风的死亡率与非产后病例相当，早期子宫切除术对其结局无影响。
