国际妇产科学杂志Issue(4)：384-386,3.
分娩中羊水栓塞的成功处置：一例临床危重病例报告及文献复习
Amniotic Fluid Embolism Managed with Success during Labour：Report of A Severe Clinical Case and Review of Literature
吴思雨 1于芳 1侯海燕 1邢静 1陈亚琼1
作者信息
- 1. 300162 天津，中国人民武装警察部队后勤学院附属医院妇产科
- 折叠
摘要
Abstract
Amniotic fluid embolism (AFE) is widely known as a disastrous rapid-progressing intrapartum complication. The incident ranges from 2/100 000 to 6/100 000. The mortality rate reaches 61%—86%. Neonatal survival is reported at 70%. We describe a case of severe AFE in our practice and review the relevant documents. A 33-year pluripara developed amniotic fluid embolism during labour. The mother identified as gestational anemia when came to our hospital with acute respiratory failure to be her initial symptom. A forceps delivery was performed. She showed extreme blood loss complicated by disseminated coagulopathy. A subtotal hysterectomy was performed due to approximately 3000 mL bleeding. Aggressive management was practiced with continuous transfusion of blood products. Haemodialysis was performed because of chronic renal failure after her being transmitted to ICU. The patient had been treated for 3 months and discharged from hospital with an improved condition and a survived baby without neurological damage. The patient receives dialysis regularly due to chronic renal failure.关键词
栓塞,羊水/剖宫产术/心肺复苏术/肾功能衰竭Key words
Embolism,amniotic fluid/Caesarean section/Cardiopulmonary resuscitation/Renal failure引用本文复制引用
吴思雨,于芳,侯海燕,邢静,陈亚琼..分娩中羊水栓塞的成功处置：一例临床危重病例报告及文献复习[J].国际妇产科学杂志,2015,(4):384-386,3.
