[Hysterectomy after cardiopulmonary resuscitation in patients with obstetric hemorrhagic shock].
OBJECTIVE
To explore the indication of hysterectomy after successful resuscitation of cardiac arrest due to obstetric hemorrhagic shock.


METHODS
A retrospective analysis was conducted in 13 patients with cardiac arrest due to obstetric hemorrhagic shock in 7 hospitals of Guangzhou, including 12 patients undergoing hysterectomy and 1 undergoing uterine artery embolization.


RESULTS
s After successful cardiopulmonary resuscitation, only 4 of the 13 patients undergoing hysterectomy or uterine artery embolization for continuing uterus hemorrhage survived.


CONCLUSIONS
Detailed plans and emergency measures should be formulated in the management of high-risk pregnancies. Early diagnosis and active treatment of obstetric hemorrhagic shock with hysterectomy or uterine artery embolization are critical in preventing cardiac arrest and improving the survival of the patients.
Song
Tian-rong
TR
Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China. gjlly@fimmu.com
Yu
Yan-hong
YH
Su
Gui-dong
GD
Ying
De-yao
DY
Xiao
Chao-qun
CQ
D000328:Adult; D016887:Cardiopulmonary Resuscitation; D005260:Female; D006323:Heart Arrest / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007044:Hysterectomy; D006473:Postpartum Hemorrhage / Q000601:surgery*; D011247:Pregnancy; D012189:Retrospective Studies; D012771:Shock, Hemorrhagic / Q000209:etiology / Q000628:therapy*; D055815:Young Adult