Rasheed Waqas, Tasnim Saria, Dweik Anass, Anil Muhammad S, Anees Muhammad Ali
Internal Medicine, Texas Tech University Health Sciences Center, Amarillo, USA.
Internal Medicine, Texas Tech University Health Sciences Center, Texas, USA.
Cureus. 2022 Sep 5;14(9):e28808. doi: 10.7759/cureus.28808. eCollection 2022 Sep.
Acute respiratory distress syndrome (ARDS) is a noncardiogenic pulmonary edema that leads to acute respiratory distress. It remains one of the major diagnoses requiring ICU admission and mechanical ventilation. We present a case of a 25-year-old gravida 3 para 2 female who was admitted for uncomplicated 38-week pregnancy and delivered a healthy male infant but developed acute onset dyspnea six hours after vaginal delivery. She required mechanical ventilation four hours after the onset of respiratory distress and had to be transferred to a higher level facility for extracorporeal membrane oxygenation (ECMO) within 24 hours of the symptom onset. She was diagnosed with severe ARDS. Even though she missed the other typical feature of amniotic fluid embolism, atypical amniotic fluid embolism remained the most likely explanation for her symptoms after the other causes of ARDS were excluded.
急性呼吸窘迫综合征（ARDS）是一种导致急性呼吸窘迫的非心源性肺水肿。它仍然是需要入住重症监护病房（ICU）并进行机械通气的主要诊断之一。我们报告一例25岁、孕3产2的女性病例，她因38周妊娠情况正常入院，分娩出一名健康男婴，但在阴道分娩后6小时出现急性呼吸困难。呼吸窘迫发作4小时后她需要机械通气，并在症状出现后24小时内被转至更高水平的医疗机构进行体外膜肺氧合（ECMO）治疗。她被诊断为重度ARDS。尽管她没有羊水栓塞的其他典型特征，但在排除ARDS的其他病因后，非典型羊水栓塞仍是其症状最可能的解释。
