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급성간장염과 협골반 임산부의 제왕절개를 위한 척추마취의 체험

Spinal Anesthesia for Cesarean Section hi a Patient with Cephalo-pelvic Disproportion Associated with Acute Hepatitis

대한마취과학회지 1977년 10권 2호 p.83 ~ 87
오양자, 이춘희,
소속 상세정보
오양자 (  ) - 이화여자대학교 의과대학 마취과학교실
이춘희 (  ) - 이화여자대학교 의과대학 마취과학교실

Abstract


The authors have experience with a case of cephalo-pelvic disproportion associated with acute hapatitis during fullterm pregnancy under the spinal anesthesia for Cesarean section at the Ewha Womans University Hosptal. The past obstetric history revealed spontaneous abortion 2 times and no special medication and blood transfusion.
During operation the patient´s condition was unstable due to severe hypotension after spinal anesthesia.
At 14 hours after the end of the operation, the patient expired because of acute renal shutdown accompanied by continuous vaginal bleeding and oozing from the operation wound.
The neonatal infant expired also.
A review of the literature is reported with the incidence, etiology, signs, symptoms and treatment of the liver disease during pregnancy.

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