剖宫产术成功用于抢救复合伤濒死孕妇及其胎儿一例

A Case of Perimortem Cesarean Section Successfully Used to Rescue a Pregnant Woman with Compound Injuries and the Fetus

妊娠晚期孕妇突发复合外伤,生命垂危濒临死亡,此种为少见突发事件。本文介绍1例患者收治情况,在对孕妇及其胎儿伤情判断的基础上,着重从患者病情的角度探讨如何对孕妇及胎儿进行抢救,从而更有效地为今后类似病例提供救治参考。通过本例病例发现,对生命垂危的产妇进行积极有效的心肺复苏后,产妇仍无有效的自主循环时应考虑实施围死亡期剖宫产(PMCS),取出胎儿后再对孕妇和胎儿进一步抢救,对孕妇和胎儿均有益。

Sudden compound trauma can be life-threatening for a pregnant woman in her third trimester. In view of such rare emergencies, this paper tries to discuss how to rescue pregnant women and fetuses and when to periform a perimortem cesarean section based on the condition of the pregnant woman and the fetus, in order to provide more effective reference for similar cases in the future. This article suggests that if spontaneous circulation can not return after active and effective cardiopulmonary resuscitation, perimortem cesarean section should be considered. Further rescue after cesarean section is beneficial for both the mother and the fetus.