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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.


DOI:
PMID:19176165
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。

相似文献

[1]
[Double cardiac arrest caused by amniotic fluid embolism during caesarean section].

Ugeskr Laeger. 2009-1-26

[2]
[Resuscitation of a pregnant patient--don't hesitate to perform a perimortem caesarean section].

Ned Tijdschr Geneeskd. 2010

[3]
Closing the gap between decision and delivery--amniotic fluid embolism with severe cardiopulmonary and haemostatic complications with a good outcome.

Resuscitation. 2007-8

[4]
[Amniotic fluid embolism: report of the successful outcome of a case with inaugural cardiac arrest and early DIVC complicated by hemoperitoneum of iatrogen origin and bleeding of an hepatic adenoma].

Ann Fr Anesth Reanim. 2012-10

[5]
Survival following amniotic fluid embolism and cardiac arrest complicated by sub-capsular liver haematoma.

Int J Obstet Anesth. 2005-1

[6]
Amniotic fluid embolism managed with success during labour: report of a severe clinical case and review of literature.

Arch Gynecol Obstet. 2008-3

[7]
[Amniotic fluid embolism: successful evolution course of isolated disseminated intravascular coagulation and early biological diagnosis].

Ann Fr Anesth Reanim. 2006-6

[8]
[Complicated but successful resuscitation after amniotic fluid embolism].

Ned Tijdschr Geneeskd. 2001-4-14

[9]
[Pathophysiological and therapeutic aspects of amniotic fluid embolism (anaphylactoid syndrome of pregnancy): case report with lethal outcome and overview].

Anaesthesist. 2003-5

[10]
A successfully treated case of cardiac arrest after Caesarean section complicated by pheochromocytoma crisis and amniotic fluid embolism.

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