Mabrouk A R, el-Feky A E
Department of Burns and Plastic Surgery, Faculty of Medicine, Ain-Shams University, Cairo, Egypt.
Burns. 1997 Nov-Dec;23(7-8):596-600. doi: 10.1016/s0305-4179(97)00055-7.
The effect of burns on fetal and maternal survival is known to be detrimental. This prospective study describes the performance of pregnant burned patients who were managed and followed up for fetal and maternal outcomes at Ain Shams University's burn unit and Maternity Hospital during the period from October 1995 to September 1996. During the 12-month period, 27 pregnant burned patients were managed. Fetal and maternal mortality correlated with the total body surface area (TBSA) burned, the mortality rate being 63 per cent for both mothers and fetuses in the 25-50 per cent TBSA group. A fetal loss of 56 per cent with no maternal loss were recorded in the 15-25 per cent TBSA group. Experience in dealing with pregnant burned patients proves that early surgical excision and skin grafting, with timely termination of pregnancy are the best lines of treatment. Prevention or minimizing the effects of the burns may be achieved by proper education and guidance of the pregnant woman.
烧伤对胎儿和母亲存活的影响是有害的，这是已知的。这项前瞻性研究描述了1995年10月至1996年9月期间在艾因·沙姆斯大学烧伤科和妇产医院接受治疗并随访胎儿和母亲结局的怀孕烧伤患者的情况。在这12个月期间，对27名怀孕烧伤患者进行了治疗。胎儿和母亲的死亡率与烧伤的体表面积（TBSA）相关，在TBSA为25%-50%的组中，母亲和胎儿的死亡率均为63%。在TBSA为15%-25%的组中，记录到胎儿丢失率为56%，母亲无死亡。处理怀孕烧伤患者的经验证明，早期手术切除和皮肤移植以及及时终止妊娠是最佳治疗方法。通过对孕妇进行适当的教育和指导，可以预防或尽量减少烧伤的影响。
