Sezaryen doğum sonrası geliflen akut akciğer ödemi: Olgu sunumu
Küçük Resim Yok
Tarih
2017
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Önceden tanı konulmamı kalp kapak hastalığı olan gebede sezaryen sonrası ani gelişen akciğer ödemi olgusunun sunulması ve kalp hastalıklarının gebe hastalardaki önemi hakkında farkındalı k oluşturulması amaçlanmıştır. Olgu: Gebelik yaşı 33 hafta primigravid gebe hasta, kanama ve kontraksiyon ile hastaneye başvurdu. ıntrauterin tekil gebelik tespit edildi. Tokoliz ve betametazon başlandı. Yaklaşık 48 saat sonra NST’de non-reaktif ve variable deselerasyonlar saptanması üzerine spinal anestezi ile sezaryene alındı. Hasta postoperatif serviste takip edilirken iki saat sonra ani başlayan maternal hipotansiyon, taşikardi, dispne, takipne meydana geldi ve akciğer ödemi teşhisi konuldu ve yoğun bakıma alındı. Yoğun bakımda tedavi sonrası1 hafta sonra şifa ile taburcu edildi. Sonuç: Gebelikte meydana gelen değişiklikler bazı kardiyak patolojilerin semptomlarıyla benzerlik gösterdiğinden gebelik planlayan kadınlarda kardiyak aç›dan risk faktörleri mevcut ise prekonsepsiyonel kardiyak değerlendirme yapılması uygun olacaktır.
Objective: The aim is to present the case of sudden pulmonary edema developing after cesarean section of a pregnant woman who had undiagnosed valvular heart disease, and to raise awareness about the importance of heart diseases in pregnant women. Case: A primigravida pregnant woman who was on 33 weeks of gestation admitted to the hospital with the complaints of bleeding and contraction. Intrauterine singleton pregnancy was identified. Tocolysis was initiated and betamethazone was administered. Approximately 48 hours later, the patient was taken to cesarean section with spinal anesthesia upon finding non-reactive and variable decelerations in NST. When monitoring the patient at postoperative service, she was diagnosed with pulmonary edema due to sudden onset of maternal hypotension, tachycardia, dyspnea andtachypnea, and put into intensive care. She was discharged in full recovery one week later following the treatment at intensive care. Conclusion: Since the changes during pregnancy may sometimes show similarities with the symptoms of some cardiac pathologies, preconceptional cardiac evaluation would be an appropriate step if women planning pregnancy have cardiac risk factors.
Objective: The aim is to present the case of sudden pulmonary edema developing after cesarean section of a pregnant woman who had undiagnosed valvular heart disease, and to raise awareness about the importance of heart diseases in pregnant women. Case: A primigravida pregnant woman who was on 33 weeks of gestation admitted to the hospital with the complaints of bleeding and contraction. Intrauterine singleton pregnancy was identified. Tocolysis was initiated and betamethazone was administered. Approximately 48 hours later, the patient was taken to cesarean section with spinal anesthesia upon finding non-reactive and variable decelerations in NST. When monitoring the patient at postoperative service, she was diagnosed with pulmonary edema due to sudden onset of maternal hypotension, tachycardia, dyspnea andtachypnea, and put into intensive care. She was discharged in full recovery one week later following the treatment at intensive care. Conclusion: Since the changes during pregnancy may sometimes show similarities with the symptoms of some cardiac pathologies, preconceptional cardiac evaluation would be an appropriate step if women planning pregnancy have cardiac risk factors.
Açıklama
Anahtar Kelimeler
Kadın Hastalıkları ve Doğum
Kaynak
Perinatoloji Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
25
Sayı
1
