| 자궁이완증에 의한 산후 출혈로 응급 자궁적출술을 시행한 1례 |
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강진우1, 김성엽2 |
1제주대학교 의과대학 의학과
2제주대학교 의과대학 산부인과학교실 |
| A case of emergency hysterectomy for postpartum hemorrhage due to uterine atony |
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Jin Woo Kang1, Sung Yob Kim2 |
1Department of Medicine, Cheju National University, Jeju 690-756, Korea
2Department of Obstetrics and Gynecology College of Medicine, Cheju National University, Jeju 690-756, Korea |
Correspondence:
Sung Yob Kim, Email: mdkim66@cheju.ac.kr
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| Abstract |
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Uterine atony is the leading cause of primary postpartum hemorrhage and the main indications of emergency peripartum hysterectomy.
A 35-year-old pregnant female patient, at the gestational age of 39+6weeks visited our Hospital for induction of labor. But After giving her intravenous oxytocin, fetal heart rate deceleration was detected and rupture of amniotic membrane occurred. cesarean section was performed by method of lower transverse section. But vaginal bleeding was persistent and blood prssure fell to 80/50 .
Lower segment of uterus was not firm, and Hb was 5.3 g/dl. Despite of oxytocin infusion,massive transfusion and uterus compression, bleeding was persistent. As a last choice, we decided to perform emergency peripartum hysterectomy. After hysterectomy, she was discharged following complete recovery on the 8th day of treatment. Hysterectomy should be considered if she has a massive bleeding. We report a case of emergency hysterectomy due to uterine atony. |
| Key Words:
Peripartum emergency hysterectomy, Uterine atony |
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