妊娠合并烧伤20例诊治分析  

Diagnosis and treatment of 20 patients with burn injuries in pregnancy

作　　者：徐丽南[1] 王子莲[1] 张颖[1] 蔡坚[1] 谢举临[2] 祁少海[2] 

机构地区：[1]中山大学附属第一医院妇产科,广州510080 [2]中山大学附属第一医院烧伤科,广州510080

出　　处：《中华产科急救电子杂志》2012年第1期46-48,共3页Chinese Journal of Obstetric Emergency（Electronic Edition）

基　　金：广东省科技计划项目(2010B031600313)

摘　　要：目的探讨不同孕期烧伤患者的合理处理建议。方法回顾性分析1986年1月至2011年12月中山大学附属第一医院收治的20例妊娠合并烧伤患者的临床资料,其中Ⅰ度烧伤6例,Ⅱ度11例,Ⅲ度3例;均在烧伤科进行规范的烧伤治疗。结果 20例患者均进行规范的烧伤治疗。早孕期合并烧伤患者9例中,3例胚胎停止发育行清宫术,6例足月妊娠分娩;中孕期合并烧伤患者6例中,先兆流产2例,经保胎等治疗后均足月分娩;晚孕期合并烧伤患者5例,均发生先兆早产,1例早产,另4例足月分娩。足月产新生儿均无窒息,平均出生体重2689 g,未发现明显畸形。结论妊娠合并烧伤较罕见,对于此类特殊情况的烧伤临床治疗较为困难,应该特殊处理,兼顾母婴,将危害降至最低。Objective To provide the treatment proposal for the pregnant women in vary gestational age. Methods Retrospective analysis of 20 cases of burn injuries during pregnancy was made in the First Affiliated of Hospital Sun Yat-sen University from Jan. 1986 to Dec. 2011. Six eases were first degree burn, eleven cases were second degree burn and three cases were third degree burn. All the patients received standard treatment. Results All patients received standard treatment to heal the burn injuries. During the first trimester, abortions occurred in three of the nine patients. During the second trimester, threatened abortions occurred in two of the six patients. Threatened premature labour occurred in five patients who were injured during their third trimester and premature labour occurred in one patient. Full-term newborns had no asphyxia and the average birth weight was 2689 g. Conclusions Although burn injuries during pregnancy is rare, but it is very difficult to treat the patients. Individual treatment in time in early phase of burn is necessary for mother and fetal survival.

关 键 词：妊娠并发症 烧伤 

分 类 号：R714.25[医药卫生—妇产科学] R644[医药卫生—临床医学]