Depondt Claire, Arnaudovski Darko, Voulgaropoulos Audrey, Milleron Olivier, Ghodbane Walid, Tran Dinh Alexy, Montravers Philippe, Kantor Elie
From the Departments of Anesthesiology and Surgical Intensive Care.
Obstetrics and Gynecology.
A A Pract. 2019 Jul 15;13(2):74-77. doi: 10.1213/XAA.0000000000000995.
Amniotic fluid embolism is a rare but dreaded complication of pregnancy, with an incidence between 2 and 7/100,000 deliveries. We report an amniotic fluid embolism after urgent cesarean delivery diagnosed on a cardiac arrest, complicated by cardiogenic shock and acute respiratory distress syndrome. This report describes the indication, efficacy, and success of venoarterial extracorporeal membrane oxygenation in the early management of cardiac arrest, cardiac failure driven by amniotic fluid embolism, and acute respiratory distress syndrome. The use of venoarterial extracorporeal membrane oxygenation support after recovery from cardiac arrest after amniotic fluid embolism should be considered early during the management of these cases.
羊水栓塞是一种罕见但可怕的妊娠并发症，发病率为每10万例分娩中有2至7例。我们报告了1例紧急剖宫产术后发生的羊水栓塞，该病例在心脏骤停时被诊断出来，并伴有心源性休克和急性呼吸窘迫综合征。本报告描述了静脉-动脉体外膜肺氧合在心脏骤停、羊水栓塞所致心力衰竭及急性呼吸窘迫综合征早期治疗中的应用指征、疗效及成功经验。在羊水栓塞导致心脏骤停复苏后，应在这些病例的治疗早期考虑使用静脉-动脉体外膜肺氧合支持。
