증례 : 분만유도중 발생한 승모판 협착증으로 인한 폐부종

Abstract

Pulmonary edema is an obstetric emergency that requires prompt recognition and treatment, The pathophysiologic and hemodynamic changes in pregnancy are more susceptible to pulmonary edema. Like the other conditions such as preeclamsia, tocolytic therapy, multifetal gestations or use of dextran preexisting maternal cardiac diseases, especially mitral stenosis, enhance susceptibility of the pregnant women to develope pulmonary edema. Mitral stenosis is the most common rheumatic valvular lesion encountered in pregnancy. And the medical & surgical management was well studied in many institutions, We experienced and managed a patient with pulmonary edema during the induction of labor and than performed cesarean section.