Document Detail


Pulmonary embolism during pregnancy and the postpartum period: report of 2 cases.
MedLine Citation:
PMID:  12901514     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate the high risk factors, clinical features, diagnosis and treatment of pulmonary embolism (PE) during pregnancy and the postpartum period. METHODS: Two cases of PE during pregnancy and postpartum period were reported retrospectively. RESULTS: The first case was a pregnant woman with congenital heart disease at 39-week gestation. She underwent a successful cesarean section (CS) because of heart disease, but she manifested tachycardia, tachypnea, cyanosis, and dyspnea suddenly on the 10th day after CS and died soon after the onset of these symptoms. The diagnosis of PE was highly suspected clinically. The second case was a twin-pregnancy woman at 35-week gestation. Because of severe perinatal myocardiopathy, cesarean section was performed. Unfortunately, the patient died abruptly on the operation table. The diagnosis of PE was confirmed by autopsy. CONCLUSIONS: The maternal mortality of PE during pregnancy and postpartum period is quite high. Whenever there is any doubt, objective examinations for PE should be started early in order to strive for the chances of the anticoagulant therapy.
Authors:
Feng Fengzhi; Yang Jianqiu; Gai Mingying
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chinese medical sciences journal = Chung-kuo i hsüeh k'o hsüeh tsa chih / Chinese Academy of Medical Sciences     Volume:  17     ISSN:  1001-9294     ISO Abbreviation:  Chin. Med. Sci. J.     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2003-08-06     Completed Date:  2004-04-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9112559     Medline TA:  Chin Med Sci J     Country:  China    
Other Details:
Languages:  eng     Pagination:  246-50     Citation Subset:  IM    
Affiliation:
Department of Gynecology and Obstetrics, Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cesarean Section
Female
Humans
Pregnancy
Pregnancy Complications, Cardiovascular* / diagnosis
Puerperal Disorders* / diagnosis
Pulmonary Embolism* / diagnosis
Risk Factors

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