妊娠中に頸椎損傷を受け分娩に至った1症例

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We report a 32-year-old pregnant woman who suffered a fracture of the atlas (Jefferson's fracture) caused by a traffic accident at 27 weeks. The accident had led her systemic anesthesia and partial paralysis with mild exterior wound. She underwent posterior occipito-cervical fusion. Even if the exterior abdominal wound is not so serious, the uterus and the fetus are sometimes damaged severely. However, she had no sign of preterm delivery with any abnormal findings in fetal heart rate monitoring. We decided cesarean section because of her physical and psychological condition. She successfully delivered a 2,134g boy at 36-weeks-gestation.
社団法人日本産科婦人科学会の論文
2002-12-01