2022年医学专题—孕妇创伤急救

International Trauma Life Support for Prehospital Care Providers Sixth Edition Patricia M. Hicks, MS, NREMTP Roy Alson, PhD, MD, FACEP Donna Hastings, EMT-P John Emory Campbell, MD, FACEP and Alabama Chapter, American College of Emergency Physicians Campbell, International Trauma Life Support, 6th Ed. © 2008 Pearson Education, Inc., Upper Saddle River, NJ Chapter 19 Trauma in Pregnancy 第一页，共三十一页。 Campbell, International Trauma Life Support, 6th Ed. © 2008 Pearson Education, Inc., Upper Saddle River, NJ Trauma in Pregnancy 孕妇(yùnfù)创伤 第二页，共三十一页。 Campbell,International Trauma Life Support, 6th Ed. © 2008 Pearson Education, Inc., Upper Saddle River, NJ (gàiyào) Dual goals in managing pregnant trauma 需要处理两个或以上的病人 Physiological changes of pregnancy孕妇生理改变 Response to hypovolemiaResponse to hypovolemia对血溶积减少对血溶积减少(jiǎnshǎo)(jiǎnshǎo)的反应的反应 Types of injuries most commonly associated 常见伤势 Initial assessment and management初步检查及处理 Trauma prevention in pregnancy预防孕妇创伤 3Trauma in Pregnancy - 第三页，共三十一页。 Campbell,International Trauma Life Support, 6th Ed. © 2008 Pearson Education, Inc., Upper Saddle River, NJ Trauma in Pregnancy 孕妇 (yùnfù) 创伤 • V V u u l l n n e e r r a a b b i i l l i i t t y y o o f f p p r r e e g g n n a a n n t t t t r r a a u u m m a a p p a a t t i i e e n n t t 孕 孕妇妇于于创创 伤伤时时之之弱弱 点点 • P P o o t t e e n n t t i i a a l l i i n n j j u u r r i i e e s s t t o o u u n n b b o o r r n n c c h h i i l l d d 对 对胎胎儿儿的的 伤伤害害 (shānghài)(shānghài) P P r r o o v v i i d d e e c c a a r r e e t t o o m m o o t t h h e e r r 照 照顾顾母母体体 P P r r o o v v i i d d e e c c a a r r e e t t o o f f e e t t u u s s 照 照顾顾胎胎儿儿 4 Trauma in Pregnancy - 第四页，共三十一页。 Campbell,International Trauma Life Support, 6th Ed. © 2008 Pearson Education, Inc., Upper Saddle River, NJ Leading cause of morbidity and mortality 为孕妇(yùnfù)发病率及死亡率的主要原因 • 6–7% of pregnancies experience some trauma6–7% of pregnancies experience some trauma 6-7%6-7% 孕妇曾遇上创创孕妇曾遇上创创 1 in 12 injured experience significant trauma 1-2%1 in 12 injured experience significant trauma 1-2% 遭遇严重创伤遭遇严重创伤 • Major causesMajor causes主要原因主要原因 Motor-vehicle collisionsMotor-vehicle collisions交通意外交通意外 FallsFalls 高处堕下高处堕下 Abuse and domestic violenceAbuse and domestic violence虐待及家庭暴力虐待及家庭暴力 Penetrating injuriesPenetrating injuries 穿刺性创伤穿刺性创伤 BurnsBurns 烧伤烧伤 5Trauma in Pregnancy - 第五页，共三十一页。 Campbell,International Trauma Life Support, 6th Ed. © 2008 Pearson Education, Inc., Upper Saddle River, NJ • F F a a i i n n t t i i n n g g s s p p e e l l l l s s , , h h y y p p e e r r v v e e n n t t i i l l a a t t i i o o n n , , e e x x c c e e s s s s f f a a t t i i g g u u e e c c o o m mmm o o n n l l y y a a s s s s o o c c i i a a t t e e d d w w i i t t h h e e a a r r l l y y p p r r e e g g n n a a n n c c y y 孕 孕妇妇初初期期 较较易易头头晕晕 (tóu (tóu yūn)yūn) , , 呼 呼吸吸过过速速 , , 易 易疲疲倦倦 • B B a a l l a a n n c c e e a a n n d d c c o o o o r r d d i i n n a a t t i i o o n n a a f f f f e e c c t t e e d d b