Ducloy-Bouthors A S, Wantellet A, Tournoys A, Depret S, Krivosic-Horber R
Département d'anesthésie-réanimation I, hôpital Jeanne-de-Flandre, CHRU, 2, avenue Oscar-Lambret, 59037 Lille Cedex, France.
Ann Fr Anesth Reanim. 2004 Mar;23(2):149-52. doi: 10.1016/j.annfar.2003.10.012.
After a normal pregnancy and labour in a 29-year-old parturient, a single seizure followed by a transient headache was observed during the uterine revision for placental retention. Mild uterine haemorrhage of 150 ml per hour without any uterine atony was associated with activation of clotting and fibrinolysis (decrease of fibrinogen, elevated fibrin soluble complexes and D-dimers). A ten fold value of foetal blood cells in maternal serum suggested the diagnosis of amniotic fluid embolism. Atypical forms of amniotic fluid embolism and their diagnosis are discussed.
一名29岁产妇经历正常妊娠和分娩后，在因胎盘滞留进行子宫检查时出现单次癫痫发作，随后伴有短暂头痛。每小时有150毫升的轻度子宫出血，但无任何子宫收缩乏力，同时伴有凝血和纤溶激活（纤维蛋白原降低、纤维蛋白可溶性复合物和D - 二聚体升高）。母血中胎儿血细胞值升高10倍提示羊水栓塞诊断。本文讨论了羊水栓塞的非典型形式及其诊断。
