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妊娠期创伤的发生率一般为6～7%。通常认为孕妇损伤程度影响胎儿存活的可能性,以及孕妇存活是胎儿存活的最好机会。但胎儿与孕妇死亡比的增加(3∶1到9∶1)提示仅孕妇存活不能确保胎儿完好。有人报告孕妇损伤程度积分(ISS)有助于判断胎儿预后,但关于胎心率(FHR)等胎儿指标的预测价值尚无报告。本文根据几个创伤中心的回顾总结,评价了 FHR和孕妇生理及实验室指标判定胎儿预后的价值以及目前对创伤孕妇的处理问题。作者收集了1985～1990年三个创伤中心93例妊娠期创伤患者的全面资料。包括孕妇年龄、经产情况、妊娠周数(EGA)、生命体征,Glasgow 昏迷分数(GCS)、血气、K-B 涂片、血球容量,乙醇及毒物水平和胎心率等。记录损伤机制,诊断方法,出院诊断、外科处理,分娩情况,住院时间,随访结果及孕妇
The incidence of pregnancy trauma is generally 6 to 7%. It is generally considered that the degree of maternal injury affects the likelihood of fetal survival, and that the survival of pregnant women is the best chance of fetal survival. However, an increase in the ratio of fetal to maternal death (3: 1 to 9: 1) suggests that survival of pregnant women alone does not ensure that the fetus is intact. It has been reported that the ISS score can help predict fetal outcomes, but there is no report on the predictive value of fetal indicators such as fetal heart rate (FHR). Based on the review and summarization of several trauma centers, this article evaluates the value of FHR and physiological and laboratory parameters of pregnant women in determining fetal prognosis and the current treatment of trauma pregnant women. The authors collected comprehensive data on 93 pregnant women with trauma from three trauma centers from 1985 to 1990. Including maternal age, production status, the number of weeks of pregnancy (EGA), vital signs, Glasgow Coma Scale (GCS), blood gas, K-B smear, blood cell volume, alcohol and toxic levels and fetal heart rate. Record injury mechanism, diagnosis, discharge diagnosis, surgical treatment, delivery, hospital stay, follow-up results and pregnant women