Kamei Hidetake, Wakimoto Yu, Harada Kayoko, Fukui Atsushi, Tanaka Hiroyuki, Shibahara Hiroaki
Department of Obstetrics and Gynecology, Hyogo College of Medicine, Nishinomiya, Japan.
J Obstet Gynaecol Res. 2019 Mar;45(3):724-728. doi: 10.1111/jog.13860. Epub 2018 Nov 22.
Resuscitative hysterotomy (RH) is a resuscitation technique, allowing the restoration of a pregnant patient's heartbeat. Here, we reported a case of RH performed in a patient with cardiac arrest as a complication of a peripartum cardiomyopathy. A 29-year-old woman with suspected hemolysis, elevated liver enzymes, low platelet syndrome was admitted to the hospital. Cardiopulmonary resuscitation and RH were initiated at 30 weeks of gestation. The infant was successfully delivered 2 min after the mother's cardiac arrest, weighting 1388 g. At the first minute, the Apgar score was 3 and the 5th minute was 6. After delivery, defibrillation was performed on the mother and restoration of spontaneous circulation was observed. However, she was hemodynamically unstable and approximately 2 months later she died. After cardiac arrest, it is possible that RH could improve the hemodynamic status. The opportunity of performing a RH is rare; however, it is necessary to be familiarized with the technique as a resuscitation method.
复苏性子宫切开术（RH）是一种复苏技术，可恢复妊娠患者的心跳。在此，我们报告了一例因围产期心肌病并发症导致心脏骤停的患者接受RH的病例。一名疑似患有溶血、肝酶升高、血小板减少综合征的29岁女性入院。在妊娠30周时开始进行心肺复苏和RH。婴儿在母亲心脏骤停后2分钟成功分娩，体重1388克。第1分钟时阿氏评分是3分，第5分钟时是6分。分娩后，对母亲进行了除颤，并观察到自主循环恢复。然而，她的血流动力学不稳定，大约2个月后死亡。心脏骤停后，RH有可能改善血流动力学状态。进行RH的机会很少；然而，作为一种复苏方法，有必要熟悉该技术。
