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剖宫产术中羊水栓塞致双心搏骤停

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

作者信息

Kamper Christina Hjørnet, Højgaard Astrid Ditte, Christiansen Aage, Bor Isil Pinar

机构信息

Gynaekologisk/obstetrisk Afdeling, Regionshospitalet Randers, DK-8900 Randers.

出版信息

Ugeskr Laeger. 2009 Jan 26;171(5):321-2.

Abstract

Amniotic fluid embolism is a rare unpredictable complication of pregnancy with high maternal morbidity and mortality rates because of the risk of cardio-respiratory collapse and/or disseminated intravascular coagulation (DIC). We here report a case of a patient who survived without any sequelae after two cardiac arrests and subsequent DIC due to amniotic fluid embolism during a caesarean section. Early consideration of the diagnosis after prompt resuscitation is needed to reduce morbidity and mortality.

摘要

羊水栓塞是一种罕见且难以预测的妊娠并发症,由于存在心肺功能衰竭和/或弥散性血管内凝血(DIC)的风险,孕产妇发病率和死亡率很高。我们在此报告一例患者,该患者在剖宫产期间因羊水栓塞发生两次心脏骤停及随后的DIC,但最终幸存且无任何后遗症。及时复苏后需尽早考虑诊断,以降低发病率和死亡率。

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