颅脑外伤致去皮层状态孕妇行急诊全麻剖宫产1例报告
Beijing Medical Journal(2018)
Abstract
患者女,33岁,因“停经36周,阴道出血4h”于2017年10月13日入院.身高158 cm,体重50 kg,妊娠3个月时,因车祸致颅脑外伤,诊断“创伤性脑疝,创伤性硬膜下血肿”,急诊行硬膜下血肿清除术、去骨瓣减压术及气管切开术,后转入监护室行机械通气、抗感染及促进神经功能恢复等对症治疗.住院期间患者始终处于去皮层状态,治疗后无明显改善.本次入院前4h家属发现患者阴道少量出血,抬头、握拳及屏气用力,产科考虑存在先兆早产可能.
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