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KMID : 0356919950280010164
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Korean Journal of Anesthesiology
1995 Volume.28 No. 1 p.164 ~ p.170
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Anesthetic Management for Emergency Obsteric Hysterectomy
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김수연
김명희/조경숙/조돈행/김민구
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Abstract
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Emergency hysterectomy has been accepted as a life-saving procedure for patients with bleeding at the time of cesarean section. This study analyzed the patients of emergency obstetric hysterectomy performed at CHA hospital for 4 years from
January
1990
to December 1993. During the 4 year study there were 32,090 deliveries, 8021 of which were cesarean sections. 42 emergency obstetric hysterectomies were performed; there were 36 cases after normal spontaneous vaginal delivery and 6 cases after
cesarean
section.
@ES The results of this study were as follows:
@EN 1) 42 patients were evaluated, ranging in age from 23 years to 41 years and averaging 32 years.
2) The most common indications for cesarean hysterectomy were atony (35.7%) and placenta previa and accreta (35.7%).
3) 3) Five patients received continuous epidural anesthesia and three of them with initially satisfactory epidural anesthesia required intraoperative induction of general anesthesia. Other patients received general anesthesia. Mean anesthetic
time
was
2 hours and 37 minutes.
4) 4) Mean units transfused during operation were 11.1 pints. Mean preoperative hemoglobin and hematocrit were 10.3 g/dl and 31.9%. Mean postoperative hemoglobin and hematocrit were 10.5 g/dl and 33.1%.
5) 5) Complications were found in 6 cases, including bladder injury, bleeding at the vaginal cuff area, pulmonary edema and paralytic ileus . Average hospital stay was 8.8 days.
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