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孕产妇心脏骤停的应急处理

Emergency management of maternal cardiac arrest

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【作者】 陈敦金柯彩萍

【Author】 CHEN Dun-jin;KE Cai-ping;The Third Affiliated Hospital of Guangzhou Medical University;Guangdong Provincial Key Laboratory of Obstetric Critical Diseases;

【机构】 广州医科大学附属第三医院广东省产科重大疾病重点实验室

【摘要】 孕产妇心脏骤停是产科罕见的并发症,虽然发病率较低,但却是严重威胁孕产妇和胎儿生命安全的重要原因。孕产妇心脏骤停的病因有产科因素和非产科因素。孕产妇心脏骤停的复苏非常艰巨,须考虑一系列妊娠相关因素,包括妊娠期孕产妇的生理变化、高质量心肺复苏以及实施围死亡期剖宫产的必要性。孕产妇心脏骤停的复苏面临独特的挑战,心肺复苏(CPR)和复苏策略应遵循标准的指南,但需稍作修改。多学科协作对于提高抢救成功率至关重要。文章就孕产妇心脏骤停的处理要点及知识更新作一阐述。

【Abstract】 Maternal cardiac arrest is a rare complication in obstetrics.Although it has a low incidence rate,it is an important reason for seriously threatening the life safety of pregnant women and fetuses.The causes of maternal cardiac arrest include obstetric and nonobstetric factors Resuscitation of maternal cardiac arrest is challenging and requires consideration of a range of pregnancy-related factors,including physiological changes of pregnant women during pregnancy,high-quality cardiopulmonary resuscitation,and the need for perimortem cesarean section.Resuscitation of pregnant patients presents unique challenges,and is the guideline for the standards that CPR and resuscitation strategies should follow,with a little modification.Multidisciplinary cooperation is essential to improving the success rate of rescue.This article reviews the key points of management and knowledge update of maternal cardiac arrest.

【基金】 国家重点研发计划(2022YFC2704500)~~
  • 【文献出处】 中国实用妇科与产科杂志 ,Chinese Journal of Practical Gynecology and Obstetrics , 编辑部邮箱 ,2025年06期
  • 【分类号】R714.252
  • 【下载频次】87
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