임신중기에 패혈성쇼크에 이환되었으나 만삭분만한 증례
A CASE OF FULL-TERM DELIVERY AFTER SEPTIC SHOCK DURING SECOND TRIMESTER OF PREGNANCY
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초록
임신중 패혈성쇼크는 임신중 모성사망의 중요한 원인이며 태아상태에도 중대한 영향을 미친다. 감염성유산이 대표적인 원인이나 그 외에많은 원인이 있을 수 있고 원인을 밝힐 수 없는 경우도 많다. 패혈증으로 진단되는 즉시 조기에 적극적으로 치료해야 하며 임신주수와 태아곤란증 같은 산모의 패혈증에 의해 야기되는 태아 상태에 따라 분만 시기를 결정해야 한다. 본 증례는 임신 23주에 발열로 전원된 후 패혈성쇼크에 빠졌던 산모에 대한 증례이다. 산모는 패혈증의 원인은 찾을 수는 없었으나 조기의 적극적인 치료로 회복되었고 태아 상태도 양호하여 패혈증 회복 후 만삭에 건강한 태아를 분만하였다.
Abstract
The Septic shock is a major cause of maternal death during pregnancy which has a great influence on the fetal state. Septic abortion is the representative cause. However, there are many different causes or unknown causes as well. As soon as the diagnosis of septicemia, it should be treated immediately and aggressively. According to the gestational age and fetal condition such as fetal distress, the delivery time should be decided. This case is of a mother who suffered from septic shock at the 23rd week of the pregnancy. The cause of the septicemia could not be found in this case, but the patient was able to recover through early aggressive treatment. The fetus was in a favorable condition so the patient was able to give birth to the baby in full-term after recovering from sepsis.
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