产妇心脏骤停期间双胞胎的剖宫产分娩。
Cesarean delivery of twins during maternal cardiopulmonary arrest.
作者信息
Cardosi R J, Porter K B
机构信息
Department of Obstetrics and Gynecology, University of South Florida College of Medicine, Tampa, USA.
出版信息
Obstet Gynecol. 1998 Oct;92(4 Pt 2):695-7. doi: 10.1016/s0029-7844(98)00127-6.
BACKGROUND
In modern times, maternal death is rare. Timely cesarean delivery in the setting of maternal cardiopulmonary arrest may save both the infant and the mother.
CASE
A 36-year-old white woman with a twin pregnancy suffered cardiopulmonary arrest at 28 weeks' gestation. Advanced cardiopulmonary resuscitative measures were unsuccessful, and the twins were delivered by cesarean at the bedside. Immediately after delivery, a maternal pulse was noted; both the mother and her infants are alive 15 months later.
CONCLUSION
Relieving vena caval occlusion by perimortem cesarean delivery in a term gravida allows chest compressions to provide sufficient cardiac output in the unfortunate event of maternal cardiopulmonary arrest. When delivery occurs within 5 minutes of maternal insult, the neonatal outcome is favorable.
背景
在现代，孕产妇死亡较为罕见。在孕产妇心肺骤停情况下及时进行剖宫产可能挽救婴儿和母亲的生命。
病例
一名怀有双胞胎的36岁白人女性在妊娠28周时发生心肺骤停。高级心肺复苏措施未成功，双胞胎在床边通过剖宫产分娩。分娩后立即发现产妇有脉搏；15个月后，母亲和她的婴儿均存活。
结论
在足月孕妇中通过濒死剖宫产解除腔静脉阻塞，可使胸部按压在孕产妇不幸发生心肺骤停时提供足够的心输出量。当在孕产妇受到伤害后5分钟内完成分娩时，新生儿结局良好。
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