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羊水栓塞:通过病例系列分析获得的病理生理学见解

Amniotic Fluid Embolism: Pathophysiological Insights through Analysis of Case Series.

作者信息

Ghosh Shrabani, Kulkarni Sunanda, Nambier Prabha, Davade Trishula

机构信息

Department of Obstetrics and Gynaecology, Chinmaya Mission Hospital, 1/1, CMH Road, Indiranagar, Bangalore, Karnataka 560038 India.

出版信息

J Obstet Gynaecol India. 2025 Apr;75(Suppl 1):616-618. doi: 10.1007/s13224-024-02057-6. Epub 2024 Sep 11.

DOI:10.1007/s13224-024-02057-6
PMID:40390920
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12085534/
Abstract

Amniotic fluid embolism (AFE) is a rare but potentially catastrophic complication of pregnancy in pregnancy and immediate postpartum period. Its pathophysiology remains poorly understood, and the mortality rates have historically been high. In this paper, we present a detailed history of two patients diagnosed with AFE and discuss the potential pathophysiological mechanisms involved. We highlight the importance of early recognition, immediate ICU management, and a multidisciplinary approach to improve survival in AFE cases.

摘要

羊水栓塞(AFE)是妊娠及产后即刻罕见但可能具有灾难性的并发症。其病理生理学仍知之甚少,且历来死亡率较高。在本文中,我们介绍了两名被诊断为羊水栓塞患者的详细病史,并讨论了潜在的病理生理机制。我们强调早期识别、即刻重症监护病房管理以及多学科方法对于提高羊水栓塞病例生存率的重要性。

相似文献

1
Amniotic Fluid Embolism: Pathophysiological Insights through Analysis of Case Series.羊水栓塞:通过病例系列分析获得的病理生理学见解
J Obstet Gynaecol India. 2025 Apr;75(Suppl 1):616-618. doi: 10.1007/s13224-024-02057-6. Epub 2024 Sep 11.
2
Amniotic fluid embolism in late second trimester abortion: a case report.孕中期晚期流产中的羊水栓塞:一例报告。
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Amniotic fluid embolism incidence, risk factors and outcomes: a review and recommendations.羊水栓塞的发病率、危险因素和结局:综述和建议。
BMC Pregnancy Childbirth. 2012 Feb 10;12:7. doi: 10.1186/1471-2393-12-7.
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本文引用的文献

1
A case of amniotic fluid embolism successfully treated by multidisciplinary treatment.一例经多学科治疗成功治愈的羊水栓塞病例。
JA Clin Rep. 2019 Nov 28;5(1):79. doi: 10.1186/s40981-019-0296-0.
2
Amniotic fluid embolism: diagnosis and management.羊水栓塞:诊断与处理
Am J Obstet Gynecol. 2016 Aug;215(2):B16-24. doi: 10.1016/j.ajog.2016.03.012. Epub 2016 Mar 14.
3
Amniotic fluid embolism: antepartum, intrapartum and demographic factors.羊水栓塞:产前、产时及人口统计学因素
J Matern Fetal Neonatal Med. 2015 May;28(7):793-8. doi: 10.3109/14767058.2014.932766. Epub 2014 Jun 30.
4
A hypothesis regarding complement activation and amniotic fluid embolism.关于补体激活与羊水栓塞的一种假说。
Med Hypotheses. 2007;68(5):1019-25. doi: 10.1016/j.mehy.2006.09.052. Epub 2006 Nov 16.