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胎儿心动过缓和弥散性凝血障碍:羊水栓塞的非典型表现。

Fetal bradycardia and disseminated coagulopathy: atypical presentation of amniotic fluid emboli.

作者信息

Levy R, Furman B, Hagay Z J

机构信息

Department of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot, Israel.

出版信息

Acta Anaesthesiol Scand. 2004 Oct;48(9):1214-5. doi: 10.1111/j.1399-6576.2004.00511.x.


DOI:10.1111/j.1399-6576.2004.00511.x
PMID:15352972
Abstract

We present a parturient who developed an atypical case of amniotic fluid emboli presented by sudden fetal bradycardia, followed by maternal disseminated coagulopathy. The typical feature of cardiopulmonary collapse was absent in this patient implying that in some cases of amniotic fluid emboli (AFE), fetal hypoxia or acidemia is unrelated to maternal cardiopulmonary status.

摘要

我们报告了一位产妇,她出现了羊水栓塞的非典型病例,表现为突发胎儿心动过缓,随后出现母体弥散性血管内凝血。该患者没有典型的心肺功能衰竭特征,这意味着在某些羊水栓塞(AFE)病例中,胎儿缺氧或酸血症与母体心肺状态无关。

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[1]
Fetal bradycardia and disseminated coagulopathy: atypical presentation of amniotic fluid emboli.

Acta Anaesthesiol Scand. 2004-10

[2]
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J Reprod Med. 2006-1

[3]
Recombinant factor VIIa to successfully manage disseminated intravascular coagulation from amniotic fluid embolism.

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[4]
Amniotic fluid embolus. A report of two cases resulting in maternal survival.

J Reprod Med. 1989-9

[5]
[Double cardiac arrest caused by amniotic fluid embolism during caesarean section].

Ugeskr Laeger. 2009-1-26

[6]
[Acute coagulation disorder following amniotic fluid infusion].

Zentralbl Gynakol. 1982

[7]
Amniotic fluid embolism-apropos two consecutive cases.

J Forensic Sci. 2011-1

[8]
[Amniotic fluid embolism: successful evolution course of isolated disseminated intravascular coagulation and early biological diagnosis].

Ann Fr Anesth Reanim. 2006-6

[9]
[Amniotic emboli and desseminated intravascular coagulation (anatomo-pathologic problems)].

J Gynecol Obstet Biol Reprod (Paris). 1973

[10]
[Clinical aspects and therapy of amniotic fluid embolism. Illustration based on a case report].

Z Geburtshilfe Neonatol. 1997

引用本文的文献

[1]
An Unusual Presentation of an Amniotic Fluid Embolism: Fetal Bradycardia As the First Sign.

Cureus. 2024-8-19

[2]
Meconium-stained amniotic fluid: a risk factor for postpartum hemorrhage.

Ther Clin Risk Manag. 2018-9-11

[3]
Amniotic fluid embolism.

Int J Crit Illn Inj Sci. 2013-1

[4]
Current concepts of immunology and diagnosis in amniotic fluid embolism.

Clin Dev Immunol. 2012

[5]
Amniotic fluid embolism: an evidence-based review.

Am J Obstet Gynecol. 2009-11

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