ID 109558
著者
久米, 克佳 Department of Anesthesiology, Tokushima University Hospital KAKEN研究者をさがす
堤, 保夫 Department of Anesthesiology, Institute of Health Bioscience, the University of Tokushima Graduate School 徳島大学 教育研究者総覧 KAKEN研究者をさがす
曽我, 朋宏 Department of Anesthesiology, Institute of Health Bioscience, the University of Tokushima Graduate School 徳島大学 教育研究者総覧 KAKEN研究者をさがす
酒井, 陽子 Department of Anesthesiology, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
神邊, 紀子 Department of Anesthesiology, Institute of Health Bioscience, the University of Tokushima Graduate School KAKEN研究者をさがす
カワニシ, リョウスケ Department of Anesthesiology, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
濵口, 英佑 Department of Anesthesiology, Institute of Health Bioscience, the University of Tokushima Graduate School KAKEN研究者をさがす
カワハラ, トミヤ Department of Anesthesiology, Tokushima University Hospital
笠井, 飛鳥 Department of Anesthesiology, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
ナカジ, ヨシミ Department of Anesthesiology, Tokushima University Hospital
ホリカワ, ヨウスケ Department of Anesthesiology, Institute of Health Bioscience, the University of Tokushima Graduate School
中山, 聡一郎 Department of Obstetrics and Gynecology, Institute of Health Bioscience, the University of Tokushima Graduate School
カジ, タカシ Department of Obstetrics and Gynecology, Institute of Health Bioscience, the University of Tokushima Graduate School 徳島大学 教育研究者総覧 KAKEN研究者をさがす
苛原, 稔 Department of Obstetrics and Gynecology, Institute of Health Bioscience, the University of Tokushima Graduate School 徳島大学 教育研究者総覧 KAKEN研究者をさがす
田中, 克哉 Department of Anesthesiology, Institute of Health Bioscience, the University of Tokushima Graduate School 徳島大学 教育研究者総覧 KAKEN研究者をさがす
キーワード
placenta percreta
massive hemorrhage
cesarean section
資料タイプ
学術雑誌論文
抄録
We describe a case of a 39-year-old woman diagnosed with placenta percreta complicated by massive hemorrhage during a cesarean section. At 27 weeks of gestation, she underwent an emergency cesarean section under general anesthesia for vaginal bleeding and an intrauterine infection. Soon after delivery, a massive hemorrhage was encountered while attempting to separate the placenta percreta from the bladder wall. Although total abdominal hysterectomy and partial cystectomy were performed, massive hemorrhaging persisted. Bleeding was finally controlled following bilateral internal iliac artery embolization. We used a cell salvage device and a rapid infuser for hemodynamics stabilization. Total blood loss was 47,000 mL, and anesthesia time was 12 h and 47 min. The patient was discharged on the 32nd postoperative day without major complications. Placenta accreta can be associated with life-threatening hemorrhage and it is vital to plan accordingly preoperatively.
掲載誌名
The journal of medical investigation : JMI
ISSN
13431420
cat書誌ID
AA11166929
61
1-2
開始ページ
208
終了ページ
212
並び順
208
発行日
2014-02
EDB ID
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
病院
医学系