中山醫學大學機構典藏 CSMUIR:Item 310902500/24550
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    題名: Acute chorioamnionitis complicated with symmetrical peripheral gangrene
    作者: Chu, YT;Hsu, A;Wu, CC;Tsai, HD;Hsieh, CTC;Hsiao, YH
    關鍵詞: Symmetrical peripheral gangrene;Septic shock;Disseminated intravascular coagulation;Preterm premature rupture of membranes
    日期: 2020
    上傳時間: 2022-08-09T08:04:12Z (UTC)
    出版者: ELSEVIER TAIWAN
    ISSN: 1028-4559
    摘要: Objective: Symmetrical peripheral gangrene (SPG) is an uncommon but important clinical syndrome. We present a case of acute chorioamnionitis complicated with SPG. Case report: A 33-year-old female (gravida 5, para 2) was admitted with preterm premature rupture of membranes (PPROM) at 20 weeks and four days of gestation. She received cervical cerclage four days ago. Seven days after the diagnosis of PPROM, she developed fever, tachypnea and tachycardia. Termination of pregnancy was decided for clinical diagnosis of sepsis. After the abortus was born, gangrene change on the nose was noticed. Afterwards, this patient developed acrocyanosis of extremities. SPG developed following sepsis with intravascular disseminated coagulation (DIC). After intensive care, the patient underwent hyperbaric oxygen therapy and fasciectomy of the left forearm. Conclusion: We suggest awareness of SPG associated with acute chorioamnionitis. Early recognition of SPG, multidisciplinary care, and treatment of its underlying conditions are the mainstays of management. (c) 2020 Taiwan Association of Obstetrics & Gynecology. Publishing services by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
    URI: http://dx.doi.org/10.1016/j.tjog.2020.09.032
    https://www.webofscience.com/wos/woscc/full-record/WOS:000590768700036
    https://ir.csmu.edu.tw:8080/handle/310902500/24550
    關聯: TAIWANESE JOURNAL OF OBSTETRICS & GYNECOLOGY ,2020 ,v59 ,issue 6 ,p972-974
    顯示於類別:[中山醫學大學研究成果] 期刊論文

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