<Case Study> BLOOD SALVAGE MANAGED A CRITICAL HEMORRHAGE DURING CESAREAN SECTION WITH UTERINE RUPTURE ACCOMPANIED WITH PLACENTA ACCRETA

フォーマット:

論文

責任表示:

Kawaguchi, Yoko ; Hashiba, Eiji ; Kitayama, Masatou ; Hirota, Kazuyoshi

言語:

日本語

出版情報:

弘前大学大学院医学研究科・弘前医学会, 2011-01-17

著者名:

• Kawaguchi, Yoko
• Hashiba, Eiji
• Kitayama, Masatou
• Hirota, Kazuyoshi

掲載情報:

弘前医学

ISSN:

0439-1721      

巻:

61

通号:

2-4

開始ページ:

159

終了ページ:

162

バージョン:

publisher

概要:

A 30-year-old woman underwent an emergency cesarean section because of fetal distress involveduterine rupture. As the placenta was firmly adhered to the uterine wall, following safe delivery, it took over one hour and more than 10000 ml blood loss until the placenta was removed. Additional blood was ordered, but there was delay in delivery. Bleeding was extremely beyond our estimation, and hardly controlled despite of transfusing1400 ml of prepared blood. With stopping … operation and continuing hyperoxic ventilation, we decided to start intraoperative blood salvage. Though hemoglobin, platelet, and base excess decreased to 2.7 g/dl, 1000/μl, and -11.2,hemodynamics could be maintained with use of a blood salvage system. Salvaged blood was very helpful to manage critical hemodilution until additional blood was reached. Overall estimated blood loss was 20190 ml and massive blood transfusion was needed. The patient emerged from anesthesia with no neurological complication. Rarely but actually cesarean section resulted in life-threatening hemorrhage. Blood salvage systems is safe and useful during cesareansection. Blood salvage should be usually considered one of the suitable choices in cesarean section patients when supply of homologous blood is limited. 続きを見る

URL:

http://hdl.handle.net/10129/4353