治疗性低温在羊水栓塞管理中的应用。
The use of therapeutic hypothermia in the management of amniotic fluid embolism.
作者信息
Barriuso Valeria, Pombar Xavier, Bankowski Heather A
机构信息
Department of Obstetrics and Gynecology, Rush Medical Center, Chicago, IL, USA.
出版信息
Obstet Med. 2013 Jun;6(2):92-93. doi: 10.1258/OM.2011.110069. Epub 2013 May 3.
BACKGROUND
Amniotic fluid embolism (AFE) is a rare peripartum obstetric emergency where patients seldom survive neurologically intact. The exact pathophysiology is not completely understood and treatment remains mainly supportive.
CASE
A 34-year-old African American woman gravida 1, para 0-0-0-0 at 38 weeks and four days induced for chronic hypertension with superimposed preeclampsia experienced an AFE during labour. Supportive treatment included early use of therapeutic hypothermia resulting in a normal neurological outcome.
CONCLUSION
This case demonstrates the timely use of therapeutic hypothermia in a patient surviving an AFE and suffering no neurological sequelae. Therapeutic hypothermia should be considered in the supportive treatment of AFE.
背景
羊水栓塞（AFE）是一种罕见的围产期产科急症，患者很少能在神经功能完好的情况下存活。确切的病理生理学尚未完全明确，治疗主要仍为支持性治疗。
病例
一名34岁的非裔美国女性，孕1产0，孕38周零4天，因慢性高血压合并子痫前期引产，分娩期间发生羊水栓塞。支持性治疗包括早期使用治疗性低温，结果患者神经功能恢复正常。
结论
本病例表明，治疗性低温可及时应用于羊水栓塞幸存者且无神经后遗症的患者。在羊水栓塞的支持性治疗中应考虑使用治疗性低温。
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