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热损伤可发生于孕期各阶段,此前文献报导多注重对产妇的治疗,而忽略了对胎儿的观察。本文回顾30例大面积烫烧伤对胎儿的影响,如流产、早产、胎儿发育不良和致畸作用等。大面积烫烧伤是指烫烧伤总面积超过10%(中度10～19%、重度20～39%、极重度≥40%)体表总面积。本文资料来自美国3个烧伤中心医院1964～1981年孕妇烫烧伤病例。根据损伤部位、面积、深度和伤时孕龄回顾对胎儿的影响。30例烫烧伤孕妇的年龄平均25岁(16～41岁),经产数平均2次(0～5),伤时孕龄平均27周(7～39周)。损伤原因:炉火(10)、热水(9)、燃烧气液(7)、热油(2)、电热器(2)、1例孕7周产妇烧伤后1周方确诊。
Thermal injury can occur in all stages of pregnancy, prior literature reported more emphasis on the treatment of mothers, while ignoring the observation of the fetus. This article reviews 30 cases of large-scale hot burns on the fetus, such as abortion, premature birth, fetal hypoplasia and teratogenic effects. Large area burn refers to the total area of hot burn more than 10% of the total area (moderate 10 ~ 19%, severe 20 ~ 39%, very severe ≥ 40%) total body surface area. This article information from the United States 3 Burn Center Hospital 1964 ~ 1981 pregnant women burn cases. According to the site of injury, area, depth and injury time of pregnancy review of the impact on the fetus. The average age of the 30 pregnant women with burn wounds was 25 years old (16 to 41 years old). The average number of pregnant women was 0 ~ 5 after birth and the average gestational age was 27 weeks (range, 7 to 39 weeks). The cause of the injury was confirmed by a week after the burn of the pregnant woman of 7 weeks pregnant with fire (10), hot water (9), gas and liquid burning (7), hot oil (2) and electric heater (2)