怀孕与创伤：您需要了解的知识。

IF 2.9 2区医学 Q2 CRITICAL CARE MEDICINE

Journal of Trauma and Acute Care Surgery Pub Date : 2025-02-01 Epub Date: 2024-11-04 DOI:10.1097/TA.0000000000004478

Sigrid Burruss, Mallory Jebbia, Jeffry Nahmias

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引用次数: 0

摘要

摘要：将近 4% 的孕妇在怀孕期间到急诊科就诊。妊娠期间会发生一些重要的生理变化，这使得对妊娠创伤患者的管理与对非妊娠患者的标准管理有所不同。本综述将讨论这些变化以及妊娠期创伤患者的初步评估、实验室和影像学检查。此外，还回顾了妊娠期特定损伤的处理方法，包括骨盆骨折、失血性休克和产后出血，以及创伤外科医生应注意的有关复苏性子宫切开术和胎儿支持的要点：证据级别：原始研究文章；二级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Pregnancy and trauma: What you need to know.

Abstract: Nearly 4% of pregnant patients have an injury-related visit to the emergency department during their pregnancy. There are important physiologic changes that occur during pregnancy that make managing pregnant trauma patients different from the standard management of a nonpregnant patient. This review discusses these changes and the initial assessment, laboratory, and imaging workups for the pregnant trauma patient. In addition, management of specific injuries in pregnancy including pelvic fractures, hemorrhagic shock, and postpartum hemorrhage are reviewed as well as key points regarding resuscitative hysterotomy and fetal support that trauma surgeons should be aware of.

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来源期刊

Journal of Trauma and Acute Care Surgery 医学-外科

CiteScore

6.00

自引率

11.80%

发文量

637

审稿时长

2.7 months

期刊介绍： The Journal of Trauma and Acute Care Surgery® is designed to provide the scientific basis to optimize care of the severely injured and critically ill surgical patient. Thus, the Journal has a high priority for basic and translation research to fulfill this objectives. Additionally, the Journal is enthusiastic to publish randomized prospective clinical studies to establish care predicated on a mechanistic foundation. Finally, the Journal is seeking systematic reviews, guidelines and algorithms that incorporate the best evidence available.