Brown Hannah, Barrett Helen L, Lee Julie, Pincus Jason M, Kimble Rebecca M, Eley Victoria A
From the Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia; and The University of Queensland, St. Lucia, Queensland, Australia.
A A Pract. 2018 Mar 15;10(6):139-143. doi: 10.1213/XAA.0000000000000662.
We present a case of maternal cardiac arrest during an elective cesarean delivery. Transesophageal echocardiography identified a large pulmonary artery mass, and guided resuscitation efforts. After return of spontaneous circulation, the patient developed disseminated intravascular coagulation with massive hemorrhage. Blood product selection and volume replacement were guided by rotational thromboelastometry and transesophageal echocardiography, respectively. Correction of coagulopathy was observed clinically and confirmed by rotational thromboelastometry. The patient fully recovered without neurological deficit.
我们报告一例择期剖宫产术中产妇心脏骤停的病例。经食管超声心动图检查发现一个巨大的肺动脉肿物，并指导了复苏工作。自主循环恢复后，患者发生弥散性血管内凝血并伴有大量出血。分别通过旋转血栓弹力图和经食管超声心动图指导血液制品的选择和容量替代。临床观察到凝血功能障碍得到纠正，并通过旋转血栓弹力图得以证实。患者完全康复，无神经功能缺损。
