摘要:

A previously healthy multigravida was admitted to hospital at 36 weeks' gestation with nausea, vomiting, and diarrhea. Vital signs were normal as were her laboratory data except for moderate ketonuria. A fetal nonstress test was negative, but a sonogram showed severe oligohydramnios. With the presumptive diagnosis of acute gastroenteritis, IV hydration was initiated with lactated Ringer's solution. Despite infusion of 4,000 ml, the patient remained oliguric. Specific gravity of her urine was 1.030. A CVP line was inserted measuring 0 cm. An additional 2,500 ml of crystalloid fluid brought CVP up to 5–6 cm; urine output increased while its specific gravity decreased to 1.001. Repeat sonographic examination 10 hours after maternal urine output had reached 100 ml/h showed adequate amniotic fluid. The mother recovered and delivered a healthy baby 1 week later; the amount of amniotic fluid at delivery was normal.

ISSN:0275-665X    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Congenital diaphragmatic hernia is associated with approximately a 75% mortality, with the outcome related to the degree of pulmonary hypoplasia fromin uterolung compression as a result of early trans-diaphragmatic herniation. If the herniated viscera can be removed before birth, pulmonary development may permit postnatal survival. After 6 failures in fetuses, the authors report on a successful diaphragmatic hernia repair in a 24-week-old fetus.

ISSN:0275-665X    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

TheInternational Journal of Obstetric Anesthesiais to be the first peer-reviewed journal devoted specifically to research in obstetric anesthesia and related topics. Original articles are now being accepted for review for the first issue, which is due to be published in September, 1991. The deadline for receipt of articles is January 1991, although short papers may be accepted after this date.

ISSN:0275-665X    

出版商:OVID    

年代:1990

数据来源: OVID