Exacerbated Pulmonary Edema in a Toxemia Patient with Mitral Regurgitation during Emergency Cesarean Section: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 311-315, 1997.
Article
in Korean
| WPRIM
| ID: wpr-163139
ABSTRACT
Pregnancy-induced hypertension(PIH) is a syndrome of hypertension, proteinuria, generalized edema and occasionally superimposed convulsions after the 20th weeks of gestation. It is a cause of maternal morbidity and mortality. Causes of marternal mortality from PIH include intracranial hemorrage, cerebral edema and pulmonary edema. Mitral regurgitation(MR) is the second most common valvular defect in pregancy, but well tolerated by pregnant women. The reduced systemic vascular resistance characteristic of pregnancy may even reduce the intensity of the murmur of MR becauce of increased forward flow and less backward flow. Acute MR result in a sudden and dramatic increase in left atrial pressure that can lead to pulmonary congestion, pulmonary hypertension and right heart failure. This is a case report of patient with toxemia and MR who underwent emergency cesarean section. She was treated with oxygen, diuretics, steroids, bronchodilators, digitalis, semisitting position, suction and positive end-expiratory pressure(PEEP). She recovered completely.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Oxygen
/
Proteinuria
/
Pulmonary Edema
/
Seizures
/
Steroids
/
Suction
/
Toxemia
/
Vascular Resistance
/
Brain Edema
/
Bronchodilator Agents
Type of study:
Prognostic study
Limits:
Female
/
Humans
/
Pregnancy
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
1997
Type:
Article
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