Rault S, Pirrello O, Langer B, Nisand I
Département de Gynécologie Obstétrique, Hôpital de Hautepierre, avenue Molière, 67098 Strasbourg cedex, France.
Gynecol Obstet Fertil. 2006 Feb;34(2):127-30. doi: 10.1016/j.gyobfe.2005.10.029. Epub 2006 Feb 2.
We report two cases of amniotic fluid embolism, confirmed by histological examination. Both patients had an immediate post-partum haemorrhage that required an haemostatic hysterectomy. A typical symptomatology of amniotic fluid embolism revelated the first case. The patient survived without any sequelae. In the second case, amniotic fluid embolism occurred immediately after the delivery. The patient developed an acute respiratory distress with a shock syndrome. Despite haemostatic hysterectomy and resuscitative efforts, she died 6 days later.
我们报告了两例经组织学检查确诊的羊水栓塞病例。两名患者均在产后立即发生大出血,需要进行止血性子宫切除术。第一例表现出典型的羊水栓塞症状。患者存活且无任何后遗症。在第二例中,羊水栓塞在分娩后立即发生。患者出现急性呼吸窘迫并伴有休克综合征。尽管进行了止血性子宫切除术和复苏努力,她还是在6天后死亡。