Cordero D R, Toffle R C, McCauley C S
Department of Obstetrics and Gynecology, West Virginia University, Morgantown.
W V Med J. 1992 Sep;88(9):402-3.
A 36-year-old black multipara at 32 weeks gestation was referred with apparent peripartal cardiomyopathy. Upon arrival, she was found to be in pulmonary edema; and shortly thereafter developed cardiopulmonary arrest. She failed to respond to initial attempts at cardiopulmonary resuscitation but subsequently responded after Caesarean section and pericardiocentesis. This case exemplifies the unique aspects of performing cardiopulmonary resuscitation on a gravid female in the latter part of pregnancy and that Caesarean section should be considered an integral part of the resuscitative protocol when standard protocols fail.
一名36岁的黑人经产妇，孕32周，因疑似围产期心肌病前来就诊。入院时，发现她有肺水肿；此后不久发生心肺骤停。她对最初的心肺复苏尝试没有反应，但在剖宫产和心包穿刺术后恢复了自主循环。该病例体现了在妊娠晚期对孕妇进行心肺复苏的独特之处，当标准方案无效时，剖宫产应被视为复苏方案的一个组成部分。
