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高雄醫師會誌72期 醫學專欄 懷孕病患外傷診斷和處理之臨床準則
高雄醫師會誌72期 醫學專欄 懷孕病患外傷診斷和處理之臨床準則
7
10004
50%
22%
6-7%
61%
8
ClassI
ClassII
(observational)
(cohort)
(prevalence)
(casecontrol)
ClassIII
222
(clinical series)
(large series of
case reviews)
(databaseorregistryreview)
b.
- H C G ( h u m a n c h o r i o n i c
gonadotropin)
X
c.
d. 5 rad
e.
f. X
g. 24
h. 20
4
i. 15
j.
[1]
(Level)
LevelILevelI
LevelII
a. 20
6
b. 12
Kleihauer-Betke
Rh
Rh
LevelIII
a.
223
Level II
class II
48
48
266
class II[2]
Kleihauer-Betke
Rh
Rh
Rh
72Rh
300g/30ml
-HCG
c-f
10rad
8-1520-40rad
[3, 4]5rad
30%
5-10rad
(table1)
24
24
20
4
224
20
(Injury Severity
Score)RevisedTraumaScore
(Glasgow coma
score)PO2 serum
bicarbonateabbreviatedinjury
scale
2. PearlmanMD,TintinallliJE,Lorenz
Table 1.
X
CT(10-mm)
RP.Aprospectivecontrolledstudyof
outcomeaftertraumaduringpregnancy.
AmJObstetGynecol1990;162:1502-7;
discussion7-10.
3. OtakeM,SchullWJ.Radiation-related
braindamageandgrowthretardation
amongtheprenatallyexposedatomicbomb
survivors.IntJRadiatBiol1998;74:15971.
4. OtakeM,SchullWJ.Inuteroexposureto
A-bombradiationandmentalretardation;a
reassessment.BrJRadiol1984;57:409-14.
1. BarracoRD,ChiuWC,ClancyTV,etal.
Practicemanagementguidelinesforthe
diagnosisandmanagementofinjuryin
thepregnantpatient:theEASTPractice
ManagementGuidelinesWorkGroup.J
Trauma;69:211-4.
225
(rad)
0.002
0.00007
0.040
0.009
0.359
<0.050
<0.100
2.60