Citation

Landers DF, Newland M, Penney LL. J. Reprod. Med. 1989; 34(12): 988-993.

Affiliation

Department of Obstetrics and Gynecology, University of Nebraska, Omaha 68105.

Copyright

(Copyright © 1989, Science Printers and Publishers, Inc)

DOI

unavailable

PMID

2621742

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 epsilon-aminocaproic acid).

Language: en