Sezaryen sonrası pulmoner tromboemboli: Olgu sunumu

Uğur Çom, Deniz Oğuzhan Melez, Ipek Esen Melez, Ziya Erdem, Arzu Akçay, Muhammet Demir, Cem Uysal
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Abstract

The death of a female during pregnancy period, independent from the gestational age and localization or in a 42 day period after the end of pregnancy due to pregnancy related reasons or reasons aggravated by the pregnancy, but containing no relation with accidental or forced incidents, is defined as maternal death by the World Health Organization. Discussion of the requirements for an emboli diagnosis in an autopsy practice through literature data is aimed in our study. It has been reported that the case was 38 years old, G5 P4 and died with a respiratory distress occurred during the follow ups in 24 hours after the caesarean section. In autopsy, the body mass index was calculated as 32.8 kg/m2 (obese) and thrombus was detected in pulmonary arteries of both lungs. Thrombus was confirmed also through histopathological analysis. Evaluation of the medical history and data obtained from a detailed autopsy are of great importance for maternal deathswhich may occur after a caesarean section and involve a pulmonary thromboembolism diagnosis in order to determine the cause of death and prevent a loss of right in medical malpractice claims.
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肺血栓栓塞撕裂后:Olga出现
世界卫生组织将怀孕期间妇女死亡定义为产妇死亡,与胎龄和地点无关,或在怀孕结束后42天内,由于与怀孕有关的原因或因怀孕而加重的原因而死亡,但与意外或强迫事件无关。通过文献资料讨论在尸检实践中栓塞诊断的要求是我们研究的目的。据报道,该病例38岁,G5 P4,在剖腹产后24小时随访中因呼吸窘迫死亡。尸检时,计算体重指数为32.8 kg/m2(肥胖),双肺肺动脉均发现血栓。组织病理学分析也证实有血栓。对剖宫产后可能发生的、包括肺血栓栓塞诊断的产妇死亡进行病史评估和从详细的尸检中获得的数据非常重要,以便确定死亡原因并防止在医疗事故索赔中丧失权利。
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