Abstract
Multiple pelvic fractures and explosive-type uterine lacerations occurred in a previously healthy 17-year-old primigravida involved in a motor vehicle accident. The fetus suffered a crushed skull and was completely extruded with the placenta from the uterus. Treatment was complicated by severe disseminated intravascular coagulation with secondary fibrinolysis. Thrombelastography enabled us to rapidly evaluate the patient's coagulation status and to monitor her response to goal-directed therapeutic interventions (surgery, specific blood product therapy and ε-aminocaproic acid).
| Original language | English (US) |
|---|---|
| Pages (from-to) | 988-993 |
| Number of pages | 6 |
| Journal | Journal of Reproductive Medicine for the Obstetrician and Gynecologist |
| Volume | 34 |
| Issue number | 12 |
| State | Published - 1989 |
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynecology