Ectópico abdominal complicado con hemoperitoneo

Abdominal ectopic pregnancy is an extremely rare type of extratubal ectopic (EE) pregnancy, with very few cases documented in the literature. Maternal mortality is higher than in tubal EE because of the delay in diagnosis and complications. The case is presented of a patient with an abdominal EE that was complicated by the appearance of severe haemoperitoneum in the first trimester of pregnancy. In this case, two emergency laparoscopies were needed in less than 24 hours, until the definitive diagnosis could be found. This demonstrates how difficult it can be to identify this pathology in its early stages.     

地中海贫血孕妇产前诊断的护理效果评价

目的研究地中海贫血孕妇实施产科综合护理模式的护理配合措施及效果。方法选择78例于我院检查地中海贫血孕妇,纳入时间为2017年5月-2018年5月,采用随机数字表法将其分为综合护理组与对照组,每组均39例。其中对照组采用常规护理形式,综合护理组行产科综合护理模式,对比综合护理组与对照组护理前后心理状态评估指标及家属的护理满意度。结果护理前综合护理组与对照组患者心理状态评估指标差异无统计学意义(P>0.05),与对照组(76.92%)相比,护理后综合护理组焦虑指标、抑郁指标更低,综合护理组孕妇及家属的护理满意度(94.87%)较高(P<0.05)。结论通过综合护理模式可提升地中海贫血孕妇护理满意度,并改善其心理状态。     

肝内胆汁淤积症孕妇的胎儿不良结局分析

目的对肝内胆汁淤积症孕妇的胎儿不良结局进行分析研究。方法随机选择在本院接受治疗的肝内胆汁淤积症孕妇作为观察组,与同期在本院正常分娩的对照组孕妇相比胎儿的不良结局。结果观察组的分娩结果 :12例早产、5例流产、5例死胎、4例新生儿窒息、40例正常分娩。对照组的分娩结果 :1例早产、1例新生儿窒息,64例正常分娩。观察组中胎儿不良结局发生率显著高于对照组,P <0.05;观察组中重度患者的胎儿不良结局发生率高于轻度患者,P <0.05。结论肝内胆汁淤积症导致胎儿不良结局发生率升高,应对加强对肝内胆汁淤积症的预防从而改善胎儿结局。     

Formaldehyde exposure and its effects during pregnancy: Recommendations for laboratory attendance based on available data

Formalin is commonly used in fixation of cadaveric specimens. Exposure to formaldehyde, a component of formalin and a known carcinogen, during gross anatomy laboratory dissection is a continuing concern for pregnant students and instructors. Since there is little literature on this specific topic, the current review was compiled in the hope of offering recommendations to pregnant students and instructors who are engaged in human anatomical dissection where formalin is used. Relevant articles were obtained through searches of PubMed and Google Scholar for the terms “formaldehyde,” “pregnant,” “formalin,” and “exposure.” A literature search was conducted for chemical information and articles about exposure as issued by government regulatory agencies and chemical companies that produce formaldehyde. This led to the compilation of 29 articles each of which included references to previous, relevant, human research. The reviewed literature contains data strongly suggesting that pregnancy can be affected by formaldehyde exposure. Therefore, on the basis our analysis, female students who might be pregnant should avoid formaldehyde exposure, including that in a gross anatomy laboratory. Instructors should find other means of ensuring anatomical competence for these students. Clin. Anat. 28:972–979, 2015. © 2015 Wiley Periodicals, Inc.     

Surgical emergencies in pregnancy in the era of modern diagnostics and treatment

Pregnancy can be complicated with different surgical emergencies which may potentially endanger the mother as well as foetus. In the modern era of advanced diagnostics and treatments, neither of them in response to a surgical emergency in a pregnant woman should be delayed. Appropriate early intervention is essential to decrease the morbidity and mortality. Following article encompasses common surgical emergencies that can arise in a pregnant woman and tries to suggest the approach that may be taken to reduce the burden of morbidity and mortality.