Nadesan K, Jayalakshmi P
Department of Pathology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Ceylon Med J. 1997 Dec;42(4):185-9.
Sudden maternal death from amniotic fluid embolism is a rare but serious complication which usually occurs during late pregnancy, often during labour or shortly after, with more than 80% mortality. Such a death causes immense stress to both the relatives and the attending doctors as it is sudden and unexpected. Three such deaths are discussed here. Traditionally, it was believed that this complication usually occurred in prolonged and difficult labour, but there is evidence contrary to this, and it is not possible to predict when and where this fatal complication will occur. Current views and various pathophysiologic mechanisms leading to the fatal outcome are also discussed.
羊水栓塞导致的孕产妇猝死是一种罕见但严重的并发症，通常发生在妊娠晚期，常在分娩期间或之后不久，死亡率超过80%。这种死亡会给亲属和主治医生带来巨大压力，因为它是突然且意想不到的。本文讨论了三例这样的死亡病例。传统上，人们认为这种并发症通常发生在产程延长和难产的情况下，但有证据与此相反，而且无法预测这种致命并发症会在何时何地发生。本文还讨论了导致致命结果的当前观点和各种病理生理机制。
