MANAGEMENT OF SEPTIC CHEMICAL ABORTION WITH RENAL FAILURE - REPORT OF 5 CONSECUTIVE CASES WITH 5 SURVIVORS

被引:28
作者
BARTLETT, RH
YAHIA, C
机构
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D O I
10.1056/NEJM196910022811401
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The woman with complications of chemical abortion (often induced by soap or Lysol solution) is a prototype of the critically ill surgical patient. Usual mortality where hysterectomy is delayed or not done is 60%. 5 such patients, all with sepsis and uterine necrosis were treated by hysterectomy. All had renal failure, 4 required dialysis; 1 underwent diuresis after injection of ethacrynic acid. Major complications, in addition to renal failure, were pulmonary. 2 patients who had prophylactic vena-cava clips and ligation of ovarian veins escaped pulmonary complications. All patients survived without physiologic disturbances.
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共 17 条
[1]  
ASHBAUGH DG, 1966, SURG GYNECOL OBSTETR, V123, P493
[2]   USE OF ETHACRYNIC ACID IN MANNITOL-RESISTANT OLIGURIC RENAL FAILURE [J].
AUGER, RG ;
DAYTON, DA ;
HARRISON, CE ;
TUCKER, RM ;
ANDERSON, CF .
JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1968, 206 (04) :891-&
[3]  
BARNES AB, 1964, JAMA-J AM MED ASSOC, V189, P919
[4]  
CARMICHAEL JD, 1967, SURG GYNECOL OBSTETR, V124, P785
[5]   SEPTIC SHOCK OF ENDOTOXIN TYPE - SOME OBSERVATIONS BASED ON MANAGEMENT OF 50 PATIENTS [J].
CAVANAGH, D ;
CLARK, PJ ;
MCLEOD, AGW .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1968, 102 (01) :13-&
[6]  
DEEP AA, 1965, OBSTET GYNECOL, V25, P241
[7]   CLINICAL MANAGEMENT OF SEPTIC ABORTION COMPLICATED BY HYPOTENSION [J].
DOUGLAS, GW ;
BECKMAN, EM .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1966, 96 (05) :633-&
[8]   ACUTE RENAL INSUFFICIENCY - SPECTRUM [J].
HAGER, EB ;
HAMPERS, CL ;
BAILEY, GL ;
MERRILL, JP .
ANNALS OF SURGERY, 1968, 168 (02) :224-&
[9]  
JANOVSKI NA, 1963, NEW YORK STATE J MED, V63, P1463
[10]  
Klein H R, 1966, S Afr Med J, V40, P1064