妊娠合并烧伤的临床处理

Clinical management of burn injuries in pregnancy

目的 探讨妊娠合并烧伤时影响妊娠结局的相关因素 ,提出不同孕期烧伤患者的处理建议。 方法 回顾分析我院 16年间收治的 13例妊娠合并烧伤的临床资料。 结果 所有病例均采用规范的烧伤治疗。早孕合并烧伤患者 4例中 2例流产 ,中期和晚期妊娠合并烧伤患者 9例中 2例完全流产 ,另 7例经保胎等治疗后 6例足月分娩 ,1例早产。 结论 妊娠期间可因为严重烧伤并发症或用药而至流产、早产 ,为确保孕妇生存及胎盘灌注需在烧伤早期及时。

Objective To investigate the correlative factors that affect the outcome of pregnancy complicated with burn injuries and to provide the treatment proposal for the pregnant women with vary gestational age. Methods Retrospective analysis of 13 cases of burn injuries during pregnancy was made. Results All patients required standard treatment to heal the burn injuries. During the first trimester, abortions occurred in two of the four patients; Abortions occurred in two and premature labour occurred in one of the nine patients who were injured during their second or third trimester. Conclusion Abortions or premature labour appeared during pregnancy as complications of the treatment of burn injuries. Enough fluid therapy in time in early phase of burn is necessary for mother survival and placental perfusion.