https://scholars.lib.ntu.edu.tw/handle/123456789/547723
標題: | Extracorporeal membrane oxygenation application in post-partum hemorrhage patients: Is post-partum hemorrhage contraindicated? | 作者: | Huang K.-Y. Li Y.-P. SHIN-YU LIN JIN-CHUNG SHIH YIH-SHARNG CHEN CHIEN-NAN LEE |
公開日期: | 2017 | 出版社: | Blackwell Publishing | 卷: | 43 | 期: | 10 | 起(迄)頁: | 1649-1654 | 來源出版物: | Journal of Obstetrics and Gynaecology Research | 摘要: | Extracorporeal membrane oxygenation (ECMO) is commonly used in patients who experience circulatory arrest or significant cardiac dysfunction and is associated with improved clinical outcomes. We conducted a retrospective observational study on ECMO application at a single tertiary center over a five-year period. Five patients who suffered post-partum hemorrhage resulting from uterine atony were treated with ECMO. The mean age was 36.8?±?3.9?years; the mean gestational age was 37.8?±?2.2?weeks; the initial mean maternal hemoglobin level was 5.0?±?2.4?mg/dL; and the mean estimated blood loss was 3260?±?1545?mL before treatment. All patients were treated with venoarterial ECMO and one was treated with both venoarterial and venovenous ECMO. The mean ECMO usage duration was 32.6?±?18.8 h (range 10–54). Four (80%) patients survived until discharge without experiencing neurological sequela. ECMO should not be a contraindication for treatment of post-partum hemorrhage and such patients should be weaned as soon as possible to ensure the early recovery of cardiac function. ? 2017 Japan Society of Obstetrics and Gynecology |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85023639408&doi=10.1111%2fjog.13426&partnerID=40&md5=ab08a482dc0bbf50a83626626b198d8f https://scholars.lib.ntu.edu.tw/handle/123456789/547723 |
ISSN: | 1341-8076 | DOI: | 10.1111/jog.13426 | SDG/關鍵字: | hemoglobin; adult; Article; case report; cesarean section; clinical article; critical illness; disseminated intravascular clotting; extracorporeal oxygenation; female; fetus distress; gestational age; hospital discharge; human; observational study; placenta previa; postpartum hemorrhage; resuscitation; retrospective study; solutio placentae; survival; tertiary care center; uterine atony; vaginal delivery; extracorporeal oxygenation; postpartum hemorrhage; procedures; treatment outcome; Adult; Extracorporeal Membrane Oxygenation; Female; Humans; Outcome and Process Assessment (Health Care); Postpartum Hemorrhage; Retrospective Studies |
顯示於: | 醫學系 |
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