Petroff S, Thill B, Levacher S, Blaise M, Pourriat J L
Département d'Anesthésie-Réanimation Chirurgicale, CHU Jean-Verdier, Bondy.
Ann Fr Anesth Reanim. 1994;13(1):135-7. doi: 10.1016/s0750-7658(94)80199-1.
A 31-year-old multiparous pregnant woman forced into labour with oxytocin, suffered a sudden circulatory collapse and, after the birth of her child, a defibrination syndrome with uterine haemorrhage. In the absence of a local cause, either placental or cervico-uterine, a diagnosis of amniotic fluid embolism was made. The time course was favourable, mainly thanks to the absence of acute pulmonary cardiogenic oedema and to the use of an anti-shock G suit. The authors point out the lack of actual in vivo paraclinical means for confirming the diagnosis.
一名31岁的经产妇因使用催产素被迫分娩,突然发生循环衰竭,产后出现纤维蛋白溶解综合征并伴有子宫出血。在没有胎盘或宫颈 - 子宫等局部病因的情况下,诊断为羊水栓塞。病程发展较为有利,主要得益于未出现急性肺源性肺水肿以及使用了抗休克G服。作者指出缺乏实际的体内辅助临床手段来确诊。