Bussen S, Schwarzmann G, Steck T
Universitäts-Frauenklinik Würzburg.
Z Geburtshilfe Neonatol. 1997 May-Jun;201(3):95-8.
A case of amniotic fluid embolism during the delivery of an at term pregnancy is reported. The 34-year old primipara with an unremarkable medical history suddenly suffered from a seizure in the second stage of labor. Shortly prior to this event, a prolonged fetal bradycardia was recorded. After forceps delivery a massive postpartum haemorrhage as the result of a consumption coagulopathy occurred. Immediate resuscitation with artificial ventilation improved the condition of mother and child. The substitution of packed red cells and platelets, fresh frozen plasma and other blood derivates was necessary. Mother and child survived without any physical damage or neurological deficit. Because of the clinical pattern we diagnosed an amniotic fluid embolism.
报道了一例足月妊娠分娩期间发生羊水栓塞的病例。这位34岁的初产妇既往病史无异常，在第二产程中突然发生惊厥。在此事件发生前不久，记录到胎儿长时间心动过缓。产钳助产术后，因消耗性凝血病发生了大量产后出血。立即进行人工通气复苏改善了母婴状况。有必要输注浓缩红细胞、血小板、新鲜冰冻血浆及其他血液制品。母婴存活，无任何身体损伤或神经功能缺损。根据临床症状，我们诊断为羊水栓塞。
