Chấn thương trong thai kỳ

British Journal of Surgery - Tập 81 Số 10 - Trang 1406-1415 - 1994
C. J. Vaizey1, Mandi Jacobson2, F W Cross3
1Departments of Surgery, Wexham Park Hospital, Slough, UK
2Linksfield Park Clinic, Johannesburg, South Africa
3Royal London Hospital, London, UK

Tóm tắt

Tóm tắt

Chấn thương là một trong những nguyên nhân chính gây tử vong ở phụ nữ mang thai. Người phụ nữ mang thai đã trải qua một sự cố dẫn đến việc cô ấy được đưa đến khoa cấp cứu thường gặp những vấn đề cụ thể thường yêu cầu sự chú ý của các chuyên gia. Việc quản lý đúng cách ban đầu các bệnh nhân như vậy không nên vượt quá khả năng của một đội ngũ chấn thương trung bình và việc quản lý như vậy được giảng dạy rõ ràng như một phần của khóa học Hỗ trợ Sự sống Chấn thương Nâng cao hiện có ở Vương quốc Anh. Bài đánh giá này phác thảo các thay đổi sinh lý liên quan đến thai kỳ trở nên quan trọng trong quá trình hồi sức và chăm sóc xác định. Nó thảo luận về việc trình bày và quản lý các vấn đề cụ thể, cũng như độ an toàn - hoặc không - của các loại thuốc thường được sử dụng. Chỉ có việc hồi sức ban đầu của bệnh nhân được xem xét; việc chăm sóc sản khoa chuyên sâu nằm ngoài phạm vi của bài viết.

Từ khóa


Tài liệu tham khảo

Sachs, 1987, Maternal mortality in Massachussetts. Trends and prevention, N Engl J Med, 316, 667, 10.1056/NEJM198703123161105

Pearlman, 1991, Evaluation and treatment of the gravida and fetus following trauma in pregnancy, Obstet Gynecol Clin North Am, 18, 371, 10.1016/S0889-8545(21)00278-3

Baker, 1982, Trauma in the pregnant patient, Surg Clin North Am, 62, 275, 10.1016/S0039-6109(16)42686-1

Peckham, 1963, A study of intercurrent conditions observed during pregnancy, Am J Obstet Gynecol, 87, 609, 10.1016/0002-9378(63)90055-3

Civil, 1988, Placental laceration and fetal death as a result of blunt abdominal trauma, J Trauma, 28, 708, 10.1097/00005373-198805000-00030

Stafford, 1988, Lethal intrauterine fetal trauma, Am J Obstet Gynecol, 159, 485, 10.1016/S0002-9378(88)80115-7

Hoff, 1991, Maternal predictors of fetal demise in trauma during pregnancy, Surg Gynecol Obstet, 172, 175

1994, Report on Confidential Enquiries into Maternal Deaths in the United Kingdom 1988–1990

Crosby, 1983, Traumatic injuries during pregnancy, Clin Obstet Gynecol, 26, 902, 10.1097/00003081-198312000-00013

Pritchard, 1980, Williams' Obstetrics, 16th

Hytten, 1973, Diagnostic Indices in Pregnancy

Walters, 1966, Cardiac output at rest during pregnancy and the puerperium, Clin Sci, 30, 1

Lees, 1967, The circulatory effects of recumbent postural change in late pregnancy, Clin Sci, 32, 453

Ueland, 1969, Maternal cardiovascular dynamics. IV. The influence of gestational age as the maternal cardiovascular response to posture and exercise, Am J Obstet Gynecol, 104, 856, 10.1016/0002-9378(69)90637-1

Schwarz, 1964, Das Verhalten des Kreislaufs in der normalen Schwangerschaft. II. Pulswellengeschwindigkeit Pulsfrequenz, Archiv für Gynaekologie, 199, 663, 10.1007/BF00668045

Johnson, 1990, Trauma in pregnancy, BMJ, 301, 1162, 10.1136/bmj.301.6761.1162-d

Marx, 1965, Shock in the obstetric patient, Anesthesiology, 26, 423, 10.1097/00000542-196507000-00007

Pearlman, 1990, Blunt trauma during pregnancy, N Engl J Med, 323, 1609, 10.1056/NEJM199012063232307

Greiss, 1967, A clinical concept of uterine blood flow during pregnancy, Obstet Gynecol, 30, 595

Greiss, 1966, Uterine vascular response to haemorrhage during pregnancy with observations on therapy, Obstet Gynecol, 27, 549, 10.1097/00006250-196604000-00021

Pechet, 1961, Increased clotting factors in pregnancy, N Engl J Med, 265, 1093, 10.1056/NEJM196111302652205

Todd, 1965, Changes in blood coagulation during pregnancy, Mayo Clin Proc, 40, 370

Margulis, 1954, Fibrinolysis in labor and delivery, Obstet Gynecol, 3, 487

Wright, 1954, Penetrating wounds of gravid uterus, Am J Obstet Gynecol, 67, 1085, 10.1016/0002-9378(54)90267-7

Beattie, 1960, Gunshot wound of the pregnant uterus, Am J Obstet Gynecol, 80, 772, 10.1016/0002-9378(60)90589-5

Bochner, 1961, Traumatic perforation of the pregnant uterus: report of two cases, Obstet Gynecol, 17, 520

Dyer, 1962, Accidental trauma complicating pregnancy and delivery, Am J Obstet Gynecol, 83, 907, 10.1016/0002-9378(62)90088-1

American College of Surgeons, 1993, Advanced Trauma Life Support

McSwain, 1988, Pneumatic anti–shock garment: state of the art 1988, Ann Emerg Med, 17, 506, 10.1016/S0196-0644(88)80248-8

Nash, 1990, Trauma in pregnancy, BMJ, 301, 974, 10.1136/bmj.301.6758.974

Bickers, 1983, Fetomaternal transfusion following trauma, Obstet Gynecol, 61, 258

Kissinger, 1991, Trauma in pregnancy. Predicting pregnancy outcome, Arch Surg, 126, 1079, 10.1001/archsurg.1991.01410330033004

Sherer, 1991, Accidental injury in pregnancy, Obstet Gynecol Surv, 44, 330, 10.1097/00006254-198905000-00010

Mossman, 1982, Radiation risks in pregnancy, Obstet Gynecol, 60, 237

Henkin, 1982, Thrombosis, 236

Weinreb, 1985, Magnetic resonance imaging in obstetric diagnosis, Radiology, 154, 157, 10.1148/radiology.154.1.3880601

McCarthy, 1985, Obstetrical magnetic resonance imaging: maternal anatomy, Radiology, 154, 421, 10.1148/radiology.154.2.3966128

Rothenberger, 1977, Diagnostic peritoneal lavage for blunt trauma in pregnant women, Am J Obstet Gynecol, 129, 479, 10.1016/0002-9378(77)90083-7

Buchsbaum, 1968, Accidental injury complicating pregnancy, Am J Obstet Gynecol, 102, 752, 10.1016/0002-9378(68)90390-6

Buss, 1990, The diagnosis of abdominal injuries in comatose patients, S Afr J Surg, 28, 137

Crosby, 1974, Trauma during pregnancy: maternal and fetal injury, Obstet Gynecol Surv, 29, 683, 10.1097/00006254-197410000-00001

Smith, 1987, Critical Care Obstetrics, 382

Taylor, 1981, Principles and Practice of Obstetrics and Perinatology, 1385

Galen, 1987, Obstetrical Decision Making, 2nd, 230

Parer, 1983, Handbook of Fetal Heart Rate Monitoring, 25

Sparkman, 1958, Rupture of the spleen in pregnancy: report of two cases and review of the literature, Am J Obstet Gynecol, 76, 587, 10.1016/0002-9378(58)90076-0

Bitseff, 1984, Splenic trauma: a trial at selective management, South Med J, 77, 1286, 10.1097/00007611-198410000-00021

Lane, 1989, Traumatic fetal deaths, J Emerg Med, 7, 433, 10.1016/0736-4679(89)90135-2

Crosby, 1979, Trauma in Pregnancy, 101

Siddall-Alum, 1991, Splenic rupture in utero following a road traffic accident. Case report, Br J Obstet Gynaecol, 98, 318, 10.1111/j.1471-0528.1991.tb13401.x

Rose, 1985, Fetomaternal hemorrhage following trauma, Am J Obstet Gynecol, 153, 844, 10.1016/0002-9378(85)90687-8

Bowdler, 1987, Fetal skull fracture and brain injury after a maternal automobile accident. A case report, J Reprod Med, 32, 375

Golan, 1980, Trauma in late pregnancy. A report of 15 cases, S Afr Med J, 57, 161

Buchsbaum, 1975, Diagnosis and management of abdominal gunshot wounds during pregnancy, J Trauma, 15, 425, 10.1097/00005373-197505000-00009

Pearlman, 1990, A prospective controlled study of outcome after trauma during pregnancy, Am J Obstet Gynecol, 162, 1502, 10.1016/0002-9378(90)90913-R

Burke, 1991, Progress in Obstetrics and Gynaecology, 111

Lavin, 1981, Delayed abruption after maternal trauma as a result of an automobile accident, J Reprod Med, 26, 621

Higgins, 1984, Late abruptio placentae in trauma patients: implications for monitoring, Obstet Gynecol, 63, S10-12

Franger, 1989, Abdominal gunshot wounds in pregnancy, Am J Obstet Gynecol, 160, 1124, 10.1016/0002-9378(89)90173-7

Grubb, 1992, Nonsurgical management of penetrating uterine trauma in pregnancy: a case report, Am J Obstet Gynecol, 166, 583, 10.1016/0002-9378(92)91677-3

Amy, 1985, Thermal injury in the pregnant patient, Surg Gynecol Obstet, 161, 209

Rayburn, 1984, Major burns during pregnancy: effects on fetal well-being, Obstet Gynecol, 63, 392

Fechter, 1980, Effects of prenatal carbon monoxide exposure on cardiac development, Toxicol Appl Pharmacol, 56, 370, 10.1016/0041-008X(80)90070-8

Satin, 1991, Sexual assault in pregnancy, Obstet Gynecol, 77, 710

Chang, 1985, Automobile passenger safety education for pregnant women and infants. Attitudes and practices of obstetrician-gynecologists, J Reprod Med, 30, 849

Attico, 1986, Automobile safety restraints for pregnant women and children, J Reprod Med, 31, 187

Crosby, 1971, Safety of lap-belt restraint for pregnant victims of automobile collisions, N Engl J Med, 284, 632, 10.1056/NEJM197103252841203

Schoenfield, 1987, Seat belts in pregnancy and the obstetrician, Obstet Gynecol Surv, 42, 275, 10.1097/00006254-198705000-00002

Kemmerer, 1987, Toward prevention of maternal mortality, N Engl J Med, 317, 574, 10.1056/NEJM198708273170916

Pearce, 1992, Seat belts in pregnancy, BMJ, 304, 586, 10.1136/bmj.304.6827.586

Fakhoury, 1986, Seat belt hazards in pregnancy. Case report, Br J Obstet Gynaecol, 93, 395

Pepperell, 1977, Motor-car accidents during pregnancy, Med J Aust, 1, 203, 10.5694/j.1326-5377.1977.tb130630.x

Griffiths, 1991, Seat belt injury in pregnancy resulting in fetal death. A need for education? Case reports, Br J Obstet Gynaecol, 98, 320, 10.1111/j.1471-0528.1991.tb13402.x

Griffiths, 1992, Antenatal teaching of the use of seat belts in pregnancy, BMJ, 304, 614, 10.1136/bmj.304.6827.614

Primentel, 1991, Mother and child, Emerg Clin North Am, 9, 549, 10.1016/S0733-8627(20)30187-5

Drost, 1990, Major trauma in pregnant women: maternal/fetal outcome, J Trauma, 30, 574, 10.1097/00005373-199005000-00008

Esposito, 1991, Trauma during pregnancy. A review of 79 cases, Arch Surg, 126, 1073, 10.1001/archsurg.1991.01410330027003

Yates, 1990, Scoring systems for trauma, BMJ, 301, 1090, 10.1136/bmj.301.6760.1090

Farmer, 1990, Fetal trauma; relation to maternal injury, J Pediatr Surg, 25, 711, 10.1016/S0022-3468(05)80002-8

Centers for Disease Control, Department of Health and Human Services, Atlanta, 1985, Diphtheria, tetanus, and pertussis: guidelines for vaccine prophylaxis and other preventative measures. Recommendations of the Immunization Practices Advisory Committee, Ann Intern Med, 103, 896, 10.7326/0003-4819-103-6-896

Robles, 1967, Delayed recall of tetanus antibodies, Am J Surg, 113, 627, 10.1016/0002-9610(67)90119-5

Braun, 1969, Hepatotoxicity of erythromycin, J. Infect Dis, 119, 300, 10.1093/infdis/119.3.300

Editorial, 1977, Folates and the fetus, Lancet, 1, 462

Chapman, 1986, Bacterial infections in pregnancy, Baillieres Clin Obstet Gynaecol, 13, 339

Stirrat, 1986, Prescribing in pregnancy, Baillieres Clin Obstet Gynaecol, 13, 402

Hall, 1976, Warfarin and fetal abnormality, Lancet, 1, 1127, 10.1016/S0140-6736(76)99010-3

Hall, 1980, Maternal and fetal sequelae of anticoagulation during pregnancy, Am Med J, 68, 122, 10.1016/0002-9343(80)90181-3

Asscher, 1991, Papaveretum in women of childbearing potential, BMJ, 303, 648, 10.1136/bmj.303.6803.648

Committee on Safety of Medicines, 1991, Genotoxicity of papaveretum and noscapine. Current Problems, 31

Blinick, 1976, Drug addiction in pregnancy and the neonate, Am J Obstet Gynecol, 125, 135, 10.1016/0002-9378(76)90583-4

Finnegan, 1979, Pathophysiological and behavioural effects of the transplacental transfer of narcotic drugs to the foetuses and neonates of narcotic-dependent mothers, Bull Narc, 31, 1

Aarskog, 1975, Association between maternal intake of diazepam and oral clefts, Lancet, ii, 921, 10.1016/S0140-6736(75)92153-4

Safra, 1975, Association between cleft lip with or without cleft palate and prenatal exposure to diazepam, Lancet, ii, 478, 10.1016/S0140-6736(75)90548-6

Saxén, 1975, Association between maternal intake of diazepam and oral clefts, Lancet, ii, 498, 10.1016/S0140-6736(75)90567-X

Rosenberg, 1983, Lack of relation of oral clefts to diazepam use during pregnancy, N Engl J Med, 309, 1282, 10.1056/NEJM198311243092103

Shiono, 1984, Oral clefts and diazepam use during pregnancy, N Engl J Med, 311, 919, 10.1056/NEJM198410043111413

Cree, 1973, Diazepam in labour: its metabolism and effect on the clinical condition and thermogenesis of the newborn, BMJ, iv, 251, 10.1136/bmj.4.5887.251

Whitelaw, 1981, Effect of maternal lorazepam on the neonate, BMJ, 282, 1106, 10.1136/bmj.282.6270.1106

Clark, 1987, Critical Care Obstetrics

Janz, Epilepsy, Pregnancy and the Child, 211

Berman, 1984, Cimetidine - unresolved issues, Anesthesiology, 60, 391, 10.1097/00000542-198404000-00032

Ralston, 1978, The fetal and neonatal effects of regional anaesthesia in obstetrics, Anesthesiology, 48, 34, 10.1097/00000542-197801000-00007

Stirrat, 1986, Prescribing for labour, Baillieres Clin Obstet Gynaecol, 13, 224