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Nan Fang Yi Ke Da Xue Xue Bao · Dec 2008
[Hysterectomy after cardiopulmonary resuscitation in patients with obstetric hemorrhagic shock].
- Tian-rong Song, Yan-hong Yu, Gui-dong Su, De-yao Ying, and Chao-qun Xiao.
- Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China. gjlly@fimmu.com
- Nan Fang Yi Ke Da Xue Xue Bao. 2008 Dec 1; 28 (12): 2174-6.
ObjectiveTo explore the indication of hysterectomy after successful resuscitation of cardiac arrest due to obstetric hemorrhagic shock.MethodsA retrospective analysis was conducted in 13 patients with cardiac arrest due to obstetric hemorrhagic shock in 7 hospitals of Guangzhou, including 12 patients undergoing hysterectomy and 1 undergoing uterine artery embolization.Resultss After successful cardiopulmonary resuscitation, only 4 of the 13 patients undergoing hysterectomy or uterine artery embolization for continuing uterus hemorrhage survived.ConclusionDetailed plans and emergency measures should be formulated in the management of high-risk pregnancies. Early diagnosis and active treatment of obstetric hemorrhagic shock with hysterectomy or uterine artery embolization are critical in preventing cardiac arrest and improving the survival of the patients.
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