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Lifesaving Intraosseous Access in a Patient with a Massive Obstetric Hemorrhage

机译:大规模产科出血患者的骨内救命

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摘要

A 42-year-old, gravida 1, para 0 woman was induced at a gestational age of 41 weeks because of post-term dates. The fourth stage of delivery was complicated by a massive hemorrhage. The uncontrollable persisting amount of blood loss led to hypovolemic shock and cardiopulmonary arrest. Lifesaving extra access was gained through an intraosseous needle in the proximal tibia. We therefore advocate including the use of an intraosseous needle as an additional route for intravascular volume replacement in case of peripartum hemorrhage.
机译:一名42岁的孕妇,第1胎,第0位,由于早产,在孕龄41周时被引诱。分娩的第四阶段因大量出血而变得复杂。失控的持续失血量导致低血容量性休克和心肺停止。通过胫骨近端的骨内针获得了额外的救生性。因此,我们提倡包括使用骨内针作为围产期出血情况下血管内容积置换的另一种途径。

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