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ID 44124
file
title alternative
A Case of Obstetrical DIC Probably Due to Uterine Type of Amniotic Fluid Embolism during Cesarean Section
creator
Nakano, Ayako
Yamagami, Yuki
Sugawara, Tomonori
Saita, Masashi
Asaga, Takehiko
Shirakami, Gotaro
subject
羊水塞栓症
子宮型
DIC
帝王切開
Amniotic fluid embolism
Uterine type
DIC
Cesarean section
NDC
Medical sciences
abstract
A 42-year-old woman diagnosed as marginal placenta previa underwent cesarean section and bilateral tubal ligation under general anesthesia in 37th gestational week. Uterine contraction after delivery was good, but atonic bleeding progressed during tubal ligation. Oxytocic drugs were ineffective. We suspected obstetrical DIC and started treatment for DIC immediately, but the bleeding lasted. After total hysterectomy, she had stable vital signs. She broke away from DIC immediately after surgery. Intraoperative findings were satisfied the criteria for clinical uterine type amniotic fluid embolism (AFE). Although AFE indicates a bad prognosis, we saved her without any sequelae.
journal title
Ansesthesia and Resuscitation
volume
Volume 53
issue
Issue 3
start page
43
end page
46
date of issued
2017-09-20
publisher
広島麻酔医学会
issn
0385-1664
ncid
language
jpn
nii type
Journal Article
HU type
Journal Articles
DCMI type
text
format
application/pdf
text version
publisher
department
Graduate School of Biomedical & Health Sciences
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