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子宫破裂伴严重凝血功能障碍所致羊水栓塞

[Amniotic fluid embolism caused by uterine rupture with severe coagulopathy].

作者信息

Dalicho F H, Baars F, Christoph R

出版信息

Zentralbl Gynakol. 1987;109(6):378-82.

PMID:3591074
Abstract

There is reported on a 35 years old woman, who was delivered of her third child. Six days after the expected day of delivery labour was introduced. On the end of the second stage an amniotic fluid infusion happened. The patient was transferred to the ward for intensive therapy following initial treatment. Within four hours she received 22 units of blood and 27 units of coagulo-active substance because of severe coagulation defect. After restoration of coagulability of blood hysterectomy had to follow owing to uterine rupture which in the first instance was overlooked. Woman and child survived.

摘要

据报道,一名35岁的女性生下了她的第三个孩子。预产期过后六天开始分娩。第二产程结束时进行了羊水灌注。初始治疗后,患者被转至重症监护病房。由于严重的凝血功能缺陷,她在四小时内接受了22单位的血液和27单位的促凝物质。由于子宫破裂最初被忽视,在恢复血液凝固性后不得不进行子宫切除术。母婴均存活。

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