Amniotic fluid embolism: case report and literature review

被引:0
|
作者
Echebarria, O. [1 ]
Farinas, A. [1 ]
Arruti, A. [1 ]
Lopez-Picado, A. [2 ]
Vinuesa Lozano, C. [3 ]
机构
[1] Hosp Univ Araba Txagorritxu, Dept Ginecol & Obstet, Vitoria, Spain
[2] Hosp Univ Araba Txagorritxu, Unidad Invest Alava, Vitoria, Spain
[3] Hosp Univ Araba Txagorritxu, Unidad Med Intens, Vitoria, Spain
关键词
Amniotic fluid embolism; Case report; Amniotic fluid;
D O I
10.1016/j.gine.2012.04.004
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Amniotic fluid embolism (AFE) is a rare but fatal syndrome occurring mostly during delivery or immediately postpartum. We report the case of a 33-year-old patient with no significant medical history. Coinciding with the rupture of the amniotic sac, the patient experienced dizziness that improved in the left lateral position with fluid therapy. Cardiac arrest occurred after delivery. After 45 min of cardiopulmonary resuscitation, the patient recovered but developed an atonic postpartum hemorrhage reversible with methylergometrine and misoprostol and the placement of a Bakri balloon. Disseminated intravascular coagulation was suspected and the patient was transfused with eight packs of red blood cells, three plasma concentrates and 2000 IU of Octaplex. The patient was then transferred to our hospital and admitted to the intensive care unit with a suspected diagnosis of AFE. On admission, she showed active metrorrhagia and hematuric urine, hemoglobin levels of 7.9, thrombocytopenia and coagulopathy, requiring transfusion of packed red blood cells, 1 platelet pool, 750 ml of plasma, fibrinogen and clotting factor VII. After correction of the coagulopathy, the bleeding stopped and the patient was discharged 6 days later. (C) 2012 Elsevier Espana, S.L. All rights reserved.
引用
收藏
页码:268 / 270
页数:3
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