Successful recovery from delayed amniotic fluid embolism with prolonged cardiac resuscitation
Successful recovery from delayed amniotic fluid embolism with prolonged cardiac resuscitation
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通过长时间的心脏复苏成功从延迟性羊水栓塞中恢复
DOI：
10.1111/j.1447-0756.2010.01470.x
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发表时间：
2011
期刊：
影响因子：
--
通讯作者：
Konishi I.
中科院分区：
文献类型：
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作者：
Hosono K;Matsumura N;Matsuda N;Fujiwara H;Sato Y;Konishi I.
羊水栓塞（AFE）是妊娠期最致命的并发症之一。我们描述的情况下，AFE发生2小时后，阴道分娩，妊娠41周。根据呼吸困难、凝血障碍和严重低血压的症状诊断AFE。胎粪的特征成分ZnCP-1在血清中升高。在复苏的最初2小时内，需要在反复心脏骤停后进行心脏按压。 通过气道管理和积极的液体管理进行初步复苏，包括输注33单位的红细胞浓缩物和57单位的新鲜冷冻血浆。患者康复，无任何后遗症。该病例报告证明，当在产后期间观察到凝血障碍和呼吸困难时，应考虑AFE。
Amniotic fluid embolisms (AFE) are one of the most fatal complications of pregnancy. We describe a case of AFE that occurred 2 h after vaginal delivery at 41 weeks of gestation. The diagnosis of AFE was made by symptoms of dyspnea, coagulopathy, and severe hypotension. ZnCP‐1, the characteristic component of meconium, was elevated in the serum. Cardiac compressions after repeated cardiac arrests were required during the initial 2 h of resuscitation. Primary resuscitation was performed with airway management and aggressive fluid management, including infusion of 33 units of red cell concentrates and 57 units of fresh frozen plasma. The patient recovered without any aftereffects. This case report warrants that AFE should be considered when coagulopathy and dyspnea are observed during the postpartum period.