頁籤選單縮合
題 名 | Postmortem Cesarean Section Following Maternal Burn=孕婦燒傷致死後之死後剖腹產 |
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作 者 | 張裕; 李昭男; 楊正暉; 郭秋虎; 呂志忠; 蔡英美; | 書刊名 | 臺灣婦產科醫學會會刊雜誌 |
卷 期 | 42:2 2003.06[民92.06] |
頁 次 | 頁137-140 |
分類號 | 417.37 |
關鍵詞 | 死後剖腹產; 母親死亡; 火災; Postmortem cesarean section; Maternal death; Fire accident; |
語 文 | 英文(English) |
中文摘要 | 目的:死後剖腹產並產下活的嬰兒相當罕見。在母親死亡後超過15分鐘且接受開刀生出活的嬰兒更為稀有。時間對小孩的預後相當重要。病例報告:一位37歲懷孕39週之初產婦因火災喪生,送往本院急診,死後剖腹產於火災發生後55分鐘及母親死亡至少28分鐘後施行,產下一名男嬰,此嬰兒靠呼吸器維持生命,並於五個月後死亡。結論:此病例從死亡至接受剖腹產的時間超過28分鐘,根據文獻記載,此為最長之間隔時間。雖然此嬰兒的預後不佳,對於懷孕已達第三期不幸死亡的孕婦,婦產科醫師應謹慎考慮施行剖腹產,因為還是有希望救活正常健康的嬰兒。 |
英文摘要 | Objective: Postmortem cesarean section of a living infant is very rare. There are few cases of surviving infants delivered more than 15 min after maternal cardiopulmonary arrest. Timing of the operation is critical for the infant. Case Report(s): We report on a case of a living male infant delivered by a 37-year-old primigravida woman, at approximately 39-weeks’ gestation, who died after having been severely burned in an accident. A postmortem cesarean section was performed 55 min after the accident and probably more than 28 min after maternal cardiopulmonary arrest. The baby was kept alive with ventilatory assistances but eventually died 5 months later. Conclusion(s): To the best of our knowledge, the present case might show the longest interval between maternal death and infant birth of more than 28 min. Although this fetus had a poor outcome, obstetricians should consider a cesarean section in any pregnant woman during the third trimester with acute cardiopulmonary arrest because of the potential to rescue a normal infant. |
本系統中英文摘要資訊取自各篇刊載內容。