Ten cases of septic shock complicated by induced abortion, who were admitted to Han-Il Hospital since January, 1964 till May, 1967 are presented.
1) Duration of pregnancy was within sixteen weeks of gestation in seven cases.
2) Method of .interruption., six cases after the use of Laminaria and four cases after the combination of Laminaria and Bougie.
3) The most frequent symptoms were high fever, tachycardia, chills, lower abdominal
pain, dyspnea, nausea, vomiting, oliguria and anuria.
4) The responsible organisms were gram-negative bacteria, E. Coli in three cases among six cases in which culture was done.
5) The most frequent complications were acute renal failure in seven cases, and metabolic acidosis in three cases.
6) When the diagnosis of septic shock had been made, vigorous therapy including massive doses of antibiotics, corticosteroids, vasopressors, and uterine emptying was instituted after appropriate: cultures had been obtained.
7) : Six cases were expired.
8) The primary site of infection was the genital tract, originated from the use of poorly
disinfected Laminaria. It is thought that Laminaria should be discarded for, cervical dilatation. and f the-indications of induced abortion restricted strictly- in Medical or Obstetrical indications.
9) Septic abortion must be treated so early and adequately_ to prevent further. developing of shock,., acute renal failure and metabolic acidosis.
|