孕产妇创伤的特点与救治策略

Characteristics and treatment strategies of maternal trauma

创伤是非产科因素导致孕产妇死亡的首要原因,并伴随着较高的孕产妇和胎儿死亡率。孕产妇创伤以钝性伤常见,救治时需要考虑胎儿,但首先应评估和救治孕妇,并遵循与其他成人一致的创伤评估处理流程。本文就孕产妇的解剖学和生理学变化及其对创伤救治的影响做一评述,包括孕产妇创伤评估、胎儿评估和紧急手术等,以供临床借鉴。

Trauma is the leading cause of maternal death due to non-obstetric factors,accompanied by high maternal and fetal mortality.Blunt injury is a common type pf maternal trauma.The fetus needs to be considered in the treatment,but the pregnant woman should be evaluated and treated first,and the trauma assessment and treatment process consistent with adults is followed.This article describes the anatomical and physiological changes of pregnant women and their impact on trauma treatment,including maternal trauma assessment,fetal assessment and emergency surgery.