Amniotic fluid embolism during caesarean section.

作者信息

Tramoni G, Valentin S, Robert M O, Sergeant M V, Branche P, Duperret S, Clement H J, Lopez F, Boisson C, Audra P, Rudigoz R C, Viale J P

机构信息

Département d'anesthésie réanimation, Service d'obstétrique and Fédération de Biochimie, Hôpital de la Croix Rousse, and Service d'obstétrique, Hôpital Edouard Herriot, Pavillon K, Lyon, France.

出版信息

Int J Obstet Anesth. 2004 Oct;13(4):271-4. doi: 10.1016/j.ijoa.2004.03.002.

DOI:10.1016/j.ijoa.2004.03.002

PMID:15477060

Abstract

Amniotic fluid embolism occurs rarely but is a leading cause of maternal mortality. A high index of clinical suspicion is necessary to make an early diagnosis to reduce morbidity and mortality. We report a non-fatal case of amniotic fluid embolism occurring during a caesarean section, with special emphasis on the mode of development and diagnosis. The initial presentation of this syndrome was a coagulopathy, followed by the usual complications of massive bleeding. Although non-specific, the diagnosis of amniotic fluid embolism was supported by the observation of amniotic fluid in the central venous blood as well as in the broncho-alveolar fluid.

摘要