InternationalTraumaLifeSupportInternationalTraumaLifeSupportforPrehospitalCareProvidersSixthEditionforPrehospitalCareProvidersSixthEditionPatriciaM.Hicks,MS,NREMTPRoyAlson,PhD,MD,FACEPDonnaHastings,EMT-PJohnEmoryCampbell,MD,FACEPandAlabamaChapter,AmericanCollegeofEmergencyPhysiciansPatriciaM.Hicks,MS,NREMTPRoyAlson,PhD,MD,FACEPDonnaHastings,EMT-PJohnEmoryCampbell,MD,FACEPandAlabamaChapter,AmericanCollegeofEmergencyPhysiciansCampbell,InternationalTraumaLifeSupport,6thEd.©2008PearsonEducation,Inc.,UpperSaddleRiver,NJChapter19TraumainPregnancyChapter19TraumainPregnancy第一页，共三十一页。Campbell,InternationalTraumaLifeSupport,6thEd.©2008PearsonEducation,Inc.,UpperSaddleRiver,NJTraumainPregnancy孕妇创伤TraumainPregnancy孕妇创伤第二页，共三十一页。Campbell,InternationalTraumaLifeSupport,6thEd.©2008PearsonEducation,Inc.,UpperSaddleRiver,NJOverview概要Dualgoalsinmanagingpregnanttrauma需要处理两个或以上的病人Physiologicalchangesofpregnancy孕妇生理改变Responsetohypovolemia对血溶积减少的反响Typesofinjuriesmostcommonlyassociated常见伤势Initialassessmentandmanagement初步检查及处理Traumapreventioninpregnancy预防孕妇创伤3TraumainPregnancy-第三页，共三十一页。Campbell,InternationalTraumaLifeSupport,6thEd.©2008PearsonEducation,Inc.,UpperSaddleRiver,NJTraumainPregnancy孕妇创伤Uniquechallenges挑战•Vulnerabilityofpregnanttraumapatient孕妇于创伤时之弱点•Potentialinjuriestounbornchild对胎儿的伤害Dualroles双重角色–Providecaretomother照顾母体–Providecaretofetus照顾胎儿4TraumainPregnancy-第四页，共三十一页。Campbell,InternationalTraumaLifeSupport,6thEd.©2008PearsonEducation,Inc.,UpperSaddleRiver,NJTraumainPregnancyLeadingcauseofmorbidityandmortality为孕妇发病率及死亡率的主要原因•6–7%ofpregnanciesexperiencesometrauma6-7%孕妇曾遇上创创•1in12injuredexperiencesignificanttrauma1-2%遭遇严重创伤•Majorcauses主要原因•Motor-vehiclecollisions交通意外•Falls高处堕下•Abuseanddomesticviolence虐待及家庭暴力•Penetratinginjuries穿刺性创伤•Burns烧伤5TraumainPregnancy-第五页，共三十一页...
