Bilateral Massive Pulmonary Embolism on Disseminated Intravascular Coagulation (DIVC) after Severe Postpartum Haemorrhage

• 作者: B. M. Said G. S. Irié Bi J. B. Anzouan Kacou K. Kone N. Boua N. Djita P. D. Ango
• 来源期刊: 麻醉学期刊(英文)
• 学科: 医学
• 关键词: Pulmonary EMBOLISM POSTPARTUM Hemorrhage DISSEMINATED INTRAVASCULAR COAGULATION THROMBOPROPHYLAXIS
• 年，卷（期）: 2018,（3）
• 页码范围: 85-92
• 页数: 8页
• 分类号: R71

摘要

The authors report a case of bilateral pulmonary embolism (PE) with intermediate risk at the University Hospital center of Treichville (CHUT). This is a postpartum PE in a 37-year-old obese, multiparous woman with postpartum hemorrhage from uterine rupture after vaginal delivery initiated by injectable oxytocin. This postpartum haemorrhage was managed by massive transfusion and hysterectomy. The initiation of thromboprophylaxis was delayed in view of its coagulation record, the first 3 days. Later, the patient presented respiratory distress for which the completion of a pulmonary angioscanner made it possible to make the diagnosis of PE whose clinical evolution under heparinotherapy was favorable.