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KMID : 0352120110270010065
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Journal of Kyung Hee University
2011 Volume.27 No. 1 p.65 ~ p.69
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Pulmonary Embolism after Total Abdominal Hysterectomy of Huge Myoma Uteri
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Lee Rippy
Chung Mi-Hwa
Choi Young-Ryong
Choi Eun-Mi
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Abstract
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We report a case of pulmonary embolism on 2nd postoperative day of total abdominal hysterectomy under general anesthesia. Patient was transfused preoperatively because of severe anemia, but she did not undergo any diagnostic test for pulmonary embolism and prophylactic trial because there was no symptom and sign that can predict pulmonary embolism. On the morning of 2nd postoperative day, with first ambulation, patient showed abrupt symptom and sign such as dyspnea, tachypnea, drowsy mental status, hypotension and hypoxemia. Under suspecting pulmonary embolism, patient was sent to intensive care unit and cardiopulmonary resuscitation was done. After 2 hours from first symptom and sign patient died. Pulmonary embolism was diagnosed on autopsy and the cause of death was cardiac arrest by pulmonary embolism.
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KEYWORD
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Pulmonary Embolism, Transfusion, Risk Factor, Prevention, Diagnosis
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