Introducere: Frecventa leziunilor traumatice la gravide atinge 6-7%. Evaluarea moderna a severitatii traumatismului este caracterizata de indicatori standardizati scalei AIS, ISS, care definesc gradul leziunii anatomice, starea pacientului si se coreleaza cu morbiditatea si mortalitatea. Scopul: Studierea severitatii traumatismului pelvinului la gravide. Material si metode: Este prezentata o analiza a 14 gravide cu traumatism, divizate in 2 loturi. Lotul studiului I (LSI) – n=3 (21,42%) gravide cu traumatismul bazinului. Varsta medie - 27±7,01 ani. Lotul studiului II (LSII) – n=11 (78,57%) gravide cu trauma extremitatilor, etc. Varsta medie 28,27±7,01 ani. Comparatie n LSI-II: t=1,79; p>0,05; a stabilit ca loturile I-II sunt statistic relativ omogene. Pacientele au fost examinate: efectuata radiografia bazinului, USG abdomenului, TC, examen obstetric, etc. Aprecierea gravitatii leziunilor a fost efectuata dupa scorul: AIS, ISS. Studiul finantat AgentieiNCercetareD, proiectul nr.20.80009.8007.11, 20.800009.8007. Rezultate: La gravide din LSI constatate fracturile oaselor bazinului: tip A- 2(14,28%), tip C- 1(7,14%). Pierderea copilului la gravida cu fractura bazinului tip C. Toate gravidele au supravietuit. Valoarea medie a severitatii leziunilor gravidelor, cu traumatism bazinului (LSI) a constituit: ISS=25,66±13,42 puncte; in LSII: ISS=10±5,69 puncte. Comparatie ISS LSI-II: t=5,1, p<0,001. Concluzii: Compararea valorilor medii LSI-II a estimarilor severitatii leziunilor, a demonstrat diferenta statistica semnificativa a doi indicatori comparabili ISS si constanta: severitatea traumatismului in grupa LSI pacientelor gravide cu trauma bazinului este semnificativ mai mare decat la gravide din LSII. Fracturile oaselor bazinului agraveaza substantial starea pacientelor gravide, este trauma severa, care se caracterizeaza prin mortalitate ridicata a fatului, dizabilitati si traume psihologice pentru mama.

Introduction: Frequency of traumatic injuries in pregnancy is 6-7%. Evaluation of the trauma severity is characterized by standardized indicators of the AIS, ISS scales, which define the degree of anatomical injury, the patient's status and correlate with morbidity and mortality. Aim: To evaluate the severity of pelvic injury in pregnancy. Material and methods: Study includes 14 traumatized pregnat women, divided into 2 groups. Study group I (SGI) - 3(21,42%) patients with pelvic trauma. Average age 27±7,01 years. Study group II (SGII) - 11(78,57%) patients with extremity trauma, etc. Average age 28,27±7,01 years. Comparison n SGI-II: t=1,79; p>0,05 established, that SGI-II statistically relatively homogeneous groups. Patients were examined: pelvic radiography, USG, etc. Assessment of the severity of the lesions was performed with AIS, ISS score. Study funded by NResearchDAgency, project no.20.80009.8007.11, 20.800009.8007. Results: Fractures of the pelvis in SGI: type A- 2(14,28%), type C- 1(7,14%). The fetal died in pregnant with pelvic fracture type C. All pregnant women survived. Average value of the injuries severity with pelvic trauma SGI was: ISS=25,66±13,42 points; in SGII: ISS=10±5,69 points. Comparison ISS SGI-II: t=5,1; p<0,001. Conclusions: Comparison of the average values SGI-II of injury severity estimates, showed statistically significant difference of two comparable ISS indicators and constant: severity of trauma in the SGI group of patients with pelvic trauma is significantly higher than in SGII. Pelvis fractures substantially aggravate the condition of pregnancy, it is severe trauma, which is characterized by high fetal mortality, disabilities and psychological trauma for the mother.