van Dorp Wendy, Maissan Iscander M, Hapa Lorenz R R, Creemers Johan W, van Muyden-Martens Jolise E
Maasstad Ziekenhuis, locaties Zuider en Clara, Afd. Gynaecologie en Obstetrie, Rotterdam, the Netherlands.
Ned Tijdschr Geneeskd. 2010;154:A2370.
Cardiac arrest is a rare and life-threatening complication during pregnancy. We present the case of a 26-year-old patient in her first pregnancy who during induction of labour at 41 weeks had a cardiac arrest caused by an amniotic fluid embolism. As part of the resuscitation procedure, a perimortem caesarean section was performed in the delivery room within five minutes. Following the caesarean section, she developed diffuse intravascular coagulation and massive, life-threatening haemorrhage which necessitated supravaginal uterus amputation. Afterwards mother and son recovered well and were discharged from hospital in good condition after 13 days. Pregnancy-induced changes in anatomy and physiology warrant a different approach during resuscitation. All medical personnel involved in the care of pregnant women should be trained to act promptly in acute situations. Training should increase knowledge of the aforementioned changes and stress the importance of performing a perimortem caesarean section, when necessary, on site and without hesitation.
心脏骤停是妊娠期罕见且危及生命的并发症。我们报告一例26岁初产妇的病例，该患者在41周引产时因羊水栓塞发生心脏骤停。作为复苏程序的一部分，在产房内5分钟内进行了濒死剖宫产。剖宫产后，她发生了弥散性血管内凝血和大量危及生命的出血，这使得经阴道子宫切除术成为必要。此后，母婴恢复良好，13天后康复出院。妊娠引起的解剖和生理变化使得复苏过程需要采取不同的方法。所有参与孕妇护理的医务人员都应接受培训，以便在紧急情况下迅速采取行动。培训应增加对上述变化的了解，并强调在必要时现场毫不犹豫地进行濒死剖宫产的重要性。
