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KMID : 0604020160310040359
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Korean Journal of Critical Care Medicine
2016 Volume.31 No. 4 p.359 ~ p.363
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Successful Hysterectomy and Therapeutic Hypothermia Following Cardiac Arrest due to Postpartum Hemorrhage
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Lee Kwang-Ho
Choi Seong-Jin
Jeon Yeong-Gwan
Kim Raing-Kyu
Um Dae-Ja
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Abstract
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Postpartum hemorrhage is a common cause of maternal mortality; its main cause is placenta accreta. Therapeutic hypothermia is a generally accepted means of improving clinical signs in postcardiopulmonary resuscitation patients. A 41-year-old pregnant woman underwent a cesarean section under general anesthesia at 37 weeks of gestation. After the cesarean section, the patient experienced massive postpartum bleeding, which led to cardiac arrest. Once spontaneous circulation returned, the patient underwent an emergency hysterectomy and was placed under therapeutic hypothermia management. The patient recovered without neurological complications.
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KEYWORD
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cardiac arrest, hypothermia, placenta accreta, postpartum hemorrhage
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