de Vogel Joey, Heydanus Roger, Mulders Annemarie G M, Smalbraak Dina J C, Papatsonis Dimitri N M, Gerritse Bastiaan M
Department of Obstetrics and Gynecology, Amphia Hospital Breda, Breda, The Netherlands.
AJP Rep. 2011 Dec;1(2):119-22. doi: 10.1055/s-0031-1293514. Epub 2011 Nov 11.
A 42-year-old, gravida 1, para 0 woman was induced at a gestational age of 41 weeks because of post-term dates. The fourth stage of delivery was complicated by a massive hemorrhage. The uncontrollable persisting amount of blood loss led to hypovolemic shock and cardiopulmonary arrest. Lifesaving extra access was gained through an intraosseous needle in the proximal tibia. We therefore advocate including the use of an intraosseous needle as an additional route for intravascular volume replacement in case of peripartum hemorrhage.
一名42岁、孕1产0的女性因过期妊娠于孕41周时引产。分娩的第四阶段出现了大量出血并发症。持续无法控制的失血量导致了低血容量性休克和心肺骤停。通过胫骨近端的骨内针获得了救命的额外通路。因此，我们主张在产后出血时将骨内针的使用作为血管内容量替代的额外途径。
