Introducere: Annual 7–8% din gravide sunt traumatizate, 40-74,7% - accident rutier. Politraumatismul în 90% cazuri este rezultatul direct a pierderii sarcinii, determinand relevanta cercetarilor ulterioare. Scopul: Studierea gravitatii leziunilor gravidelor în accidente rutiere. Material si metode: Din lotul studiului a 15 gravide cu trauma, 3 gravide cu politraumatism dupa accident rutier. Investigatiile: USG abdomenului(n=3); radiografia toracelui(n=3), bazinului(n=1); TC:cranio-cerebrala(n=2), toracelui(n=1); abdomenului, pelvisului(n=2). Studiul finantat AgentieiNCercetareD, proiectul nr.20.80009.8007.07, 20.800009.8007.11. Rezultate: Pacienta P., sarcina trimestruII, 21ani. Diagnosticul: Fracturi: bazinului tipC, sacrum, femurului; ruptura vezicii urinare, placenta previa, hemoragie intrauterina. Soc IIIgr. Severitatea accidentarii: Glasgow=15; ISS=41puncte. S-au efectuat masuri de resuscitare, cezariana (fat mort), stabilizarea oaselor pelviene, femurului cu instalarea unui dispozitiv de fixare externa, epicistostomie. Pacienta V, sarcina trimestruI, 23ani. D-cul: Trauma cranio-cerebrala deschisa (TCCD), fractura osului occipital cu trecerea la baza craniului. Comotie severa. Edem cerebral difuz. Leziune toracica, fractura coastei 6, clavicula dreapta, pneumonie multifocala, etc. Glasgow=9, ISS=38p. Tratament neurologic conservativ. Pacienta decedata din cauza TCCD severa. Pacienta M., sarcina trimestrulI, 37ani. D-cul: TCC grava, focar de contuzie hemoragica. Edem cerebral. Fractura orbito-zigomatica, mandibulei, radiusului stang, glezna dreapta. Contuzia peretelui abdominal anterior. CT: fat cu semne de distrugere. Glasgow=13, ISS=38p. Efectuat chiuretaj uterin, osteosinteza: maxilarului, maleolei mediale, radiusului. Tratament neurologic conservativ. Concluzii: La gravidele cu politraumatism, cauzat de accident rutier, consecintele leziunilor sunt previzibil grave. În lotul studiului, urmarile deosebit de grave au fost în leziunile cranio-cerebrale, abdomenului si bazinului, provocand decesul a unei femei însarcinate si 3 fetusi. Politraumatismul gravidelor ramane o problema medicala, sociala urgenta.

Introduction: Annually 7–8% of pregnant women are traumatized, 40-74,7% - car accident. Polytrauma in 90% of cases is the direct result of pregnancy loss, determining the relevance of further research. Aim: Studying the severity of injuries of pregnant women in road accidents. Material and methods: From the study group of 15 pregnants with trauma, 3 patients with polytrauma after road accident. Investigations: USG abdomen(n=3); chest x-ray(n=3), pelvis(n=1); CT brain(n=2), thorax(n=1); abdomen, pelvis(n=2). Study funded by the Research Agency, project no. 20.80009.8007.07, 20.800009.8007.11. Results: Patient P., pregnancy II trimester, 21years. Diagnosis: Fractures: pelvis type C, femur; bladder rupture, placenta previa, intrauterine hemorrhage. Shock IIIgr. Glasgow=15; ISS=41p. Resuscitation measures were performed, cesarean section (fetus died), pelvis and femur stabilization by external device, epicystostomy. Patient V., pregnancy I trimester, 23years. Diagnosis: Open craniocerebral trauma, occipital bone fracture with transition to the base of the skull. Severe concussion. Chest injury, rib fracture, right collarbone, multifocal pneumonia. Glasgow=9, ISS=38p. Conservative neurological treatment. The patient died of severe OCCT. Patient M., pregnancy I trimester, 37years. Diagnosis: severe CCT, outbreak of hemorrhagic contusion. Cerebral edema. Orbito-zygomatic fracture, mandible, radius, ankle. Contusion of the anterior abdominal wall. CT: Fatal with signs of destruction. Glasgow=13, ISS=38p. Performed uterine curettage, osteosynthesis: maxila, medial ankle, radius. Conservative neurological treatment. Conclusions: In pregnant women with polytrauma, caused by a car accident, the consequences of injuries are predictably serious. The most serious consequences were in the craniocerebral, abdominal and pelvic injuries, causing the death of a pregnant woman and 3 fetuses.