Problema primordiala a medicinii de urgenta este traumatismul femeilor gravide. Din numarul total de femei, care au suferit traumatisme, gravide au fost 3%, 11% dintre care au aflat de sarcina la spitalizare. In traumatismele femeilor gravide, USG este una dintre principalele metode de diagnosticare a leziunilor. Scopul: Analiza particularitatilor diagnosticului traumei USG in I trimestru de sarcina. Material si metode: Studiate rezultatele diagnosticului a 18 femeilor gravide traumatizate cu varsta gestationala < 13 saptamani. Varsta 23,42±2,92 ani. Cauzele traumatismului: accidente de circulatie 7(38,88%), caderi de la inaltimea corpului 6(33,33%), agresiunea fizica 5(27,77%). La spitalizare investigatiile: examenul clinic, ginecologic; USG, etc. Studiul realizat in cadrul proiectului Agentiei NCercetareD nr. 20.80009.8007.11. Rezultate: La internare efectuat USG la 16 paciente. Gravidele (n=2) in stare grava examinate FAST in reanimare, cu informatii incomplete despre gravida si fat, care necesita USG repetate. La 12 gravide, cu leziuni usor/ moderate, diagnosticate: traumatism cranian (n=9), contuzie tesuturilor moi (n=9). USG abdominala a relevat: termenii sarcinii (n=16); decolarea placentei (n=2); hipertonus uterin (n=8), etc. In timpul spitalizarii USG la 7(38,8%) paciente s-a depistat sarcina primar, dintre care 4(22,2%) au avut sarcina tubara, fiind supuse salpingectomiei unilaterale. Concluzie: Toate femeile fertile accidentate necesita examen USG, pentru a diagnostica/ exclude sarcina, cu determinarea tacticii diagnostico-curative ulterioare. USG in diagnosticul traumatismului la femeile insarcinate este o metoda sigura de examinare a gravidei si fatului. Dupa o accidentare, gravidele la varsta gestationala de < 18 saptamani necesita monitorizare USG obligatorie a fatului.

One of the problems of emergency medicine is the trauma of pregnant. From total number of women who suffered trauma, 3% were pregnant, 11% of whom found out about the pregnancy during hospitalization. In the trauma of pregnants, USG is the main methods for diagnosing injuries. Aim: Analysis of the peculiarities of USG diagnosis in trauma in the I trimester of pregnancy. Material and methods: The results of the diagnosis of 18 pregnant after trauma with a gestational age <13weeks were studied. Age 23,42±2,92. Causes of trauma: traffic accidents 7(38,88%), falls from a height 6(33,33%), physical aggression 5(27,77%). During hospitalization, examination: clinical, gynecological; USG, etc. The study carried out within the project of AgencyNCercetareD no.20.80009.8007.11. Results: During admission, USG was performed on 16 patients. Pregnant (n=2) in serious condition examined by FAST in resuscitation, with incomplete information about the pregnant and fetus, requiring repeated USG. In 12 pregnant, with mild/moderate injuries, diagnosed: head trauma (n=9), soft tissue contusion (n=9), the fetus did not suffer. Abdominal USG revealed: pregnancy terms (n=16); placental detachment (n=2); uterine hypertension(n=8), etc. During hospitalization, USG detected primary pregnancy in 7(38,8%) patients, of which 4(22,2%) had tubal pregnancy, being subjected to unilateral salpingectomy. Conclusion: All injured fertile women require USG examination, to diagnose/exclude pregnancy, with determination of subsequent diagnostic-curative tactics. USG in the diagnosis of trauma in pregnant is a safe method of examining the pregnant and the fetus. After an accident, pregnant with a gestational age of <18 weeks require mandatory USG monitoring of the fetus.