[The treatment of a case of postpartum uterine atony with consumption coagulopathy by therapeutic pharmaco angiography (author's transl)].
Two hours following a twin stillbirth at 30 weeks gestation, a 25 year old primipara developed severe postpartum hemorrhage due to uterine atony and complicated by increasing consumption coagulopathy. Bilateral catheterization of the internal iliac arteries was attempted but only achieved on the left. For the next 22 hours the patient received 0.2 units per minute of Pitressin by intra-arterial infusion. The infusion was done more and more intermittently as the bleeding stopped and the coagulation parameters normalized. An emergency ligation of the internal iliac arteries or an emergency hysterectomy was thus avoided in this patient.
D000328:Adult; D004211:Disseminated Intravascular Coagulation / Q000188:drug therapy*; D005260:Female; D006801:Humans; D007269:Injections, Intra-Arterial; D008722:Methods; D010121:Oxytocin / Q000008:administration & dosage / Q000627:therapeutic use; D006473:Postpartum Hemorrhage / Q000188:drug therapy*; D011247:Pregnancy; D014591:Uterine Diseases / Q000150:complications*
D010121:Oxytocin
Behandlung einer postpartalen Uterusatonie mit Verbrauchskoagulopathie durch therapeutische Pharmaco-Angiographie (Kasuistik).