骨科创伤与怀孕之间的相互作用 - 42名患者的病例系列
Prajin Raj1, Owais Ahmed1, B Roy Wilson Armstrong1
1Department of Orthopaedics and Trauma, Ganga Medical Center & Hospital, Coimbatore, India.
Injury
|September 8, 2024
概括
在孕妇患者的骨科创伤显著增加胎儿损失的风险. 管理需要多学科的方法,选择性剖腹产建议在严重的病例和外部固定下肢损伤在怀孕后期.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
- 产科和妇科 产科和妇科
背景情况:
- 怀孕和创伤带来了复杂的挑战,影响了母亲和胎儿的健康.
- 怀孕期间的创伤可能导致不良结果,如早产和胎儿受伤或死亡.
- 孕妇患者的创伤管理因生理变化而复杂,影响骨折治疗和辐射暴露风险.
研究的目的:
- 评估骨科创伤对怀孕结果的影响.
- 评估怀孕如何影响骨折管理策略.
- 确定创伤在怀孕期间对母亲和胎儿健康的整体影响.
主要方法:
- 一项回顾性研究分析了从2015年1月到2022年12月的54名受伤和骨折的孕妇.
- 数据包括人口统计,伤害细节,骨折管理方案和妊娠结果 (分娩方式,孕产妇/胎儿损失).
- 在最终分析中,包括了至少一年的42名随访患者.
主要成果:
- 道路交通碰撞是最常见的伤害原因 (66.7%).
- 胎儿损失发生在14.3%的病例中 (42例中有6例),多创伤患者的风险更高.
- 9名患者接受了剖腹产,其中6名患者因相关伤害而被选择性计划.
结论:
- 怀孕期间的骨科创伤与明显更高的胎儿损失率有关.
- 选择性剖腹产建议用于多创伤患者,骨盆损伤患者或长期固定患者.
- 在怀孕晚期或多创伤下肢损伤的外部固定是安全的,在分娩后的最终固定.
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