Department of Anesthesiology and Pain Medicine, College of Medicine, CHA Univercity, Seongnam, Korea.
Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S158-62. doi: 10.4097/kjae.2010.59.S.S158. Epub 2010 Dec 31.
Amniotic fluid embolism (AFE) is a rare but fatal obstetric emergency, characterized by sudden cardiovascular collapse, dyspnea or respiratory arrest and altered mentality, disseminated intravascular coagulation (DIC). It can lead to severe maternal morbidity and mortality, but the prediction of its occurrence and treatment are very difficult. We experienced a case of AFE during emergent Cesarean section in a 40(+6) weeks healthy pregnant woman, age 33. Sudden dyspnea, hypotension, signs of pulmonary edema and DIC were developed during Cesarean section, and cardiac arrest followed after these events. The course of these events was so rapid and catastrophic, which was consistent with AFE. Thus, we report this case precisely and review pathophysiology, diagnosis, treatment of AFE by referring to up-to-date literatures.
羊水栓塞（AFE）是一种罕见但致命的产科急症，其特征是突然发生心血管崩溃、呼吸困难或呼吸停止以及意识改变、弥散性血管内凝血（DIC）。它可导致严重的产妇发病率和死亡率，但对其发生的预测和治疗非常困难。我们在一名 33 岁的 40（+6）周健康孕妇的紧急剖宫产中遇到了一例 AFE 病例。剖宫产过程中突然出现呼吸困难、低血压、肺水肿迹象和 DIC，随后发生心脏骤停。这些事件的发生过程如此迅速和灾难性，与 AFE 一致。因此，我们通过参考最新文献，准确地报告了这例病例，并复习了 AFE 的病理生理学、诊断和治疗。
