대한임상독성학회지 (Journal of The Korean Society of Clinical Toxicology)
- 제7권1호
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- Pages.44-46
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- 2009
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- 1738-1320(pISSN)
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- 2508-6332(eISSN)
심각한 약물중독으로 내원한 38주 산모에게 실시된 응급제왕절개술 1례
Emergency Cesarean Section Rescue of a Fetus from Maternal Severe Drug Intoxication
- 박정근 (순천향대학교 의과대학 천안병원 응급의학과)
- Park, Jung-Geun (Department of Emergency Medicine, Soonchunhyang University Cheonan Hospital)
- 발행 : 2009.06.12
초록
Herein, we report a case of emergency cesarean section after severe maternal drug intoxication in late pregnancy. At a 38-week-gestation, a 32-year-old woman with a 10-year history of bipolar disorder took olanzapine (200 mg), diazepam (20 mg), and zolpidem (200 mg) as part of a suicidal attempt. Given her unconscious state and the evident concern regarding the toxic effects of the drugs on the fetus, a cesarean section was performed immediately. The patient gave birth to a male baby with Apgar scores of 5 at 1 and 8 at 5 minutes. The baby showed dyspnea and decreased activity directly after birth. After supportive care, the condition of both mother and baby improved and both were discharged.