Amniotic Fluid Embolism: A Rare Complication of Second-Trimester Amniocentesis

被引：8

作者：

Drukker, Lior ^{[1
]}

Sela, Hen Y. ^{[1
]}

Ioscovich, Alexander ^{[2
]}

Samueloff, Arnon ^{[1
]}

Grisaru-Granovsky, Sorina ^{[1
]}

机构：

[1] Hebrew Univ Jerusalem, Sch Med, Shaare Zedek Med Ctr, Dept Obstet & Gynecol, 12 Bayit St, IL-91031 Jerusalem, Israel

[2] Hebrew Univ Jerusalem, Sch Med, Shaare Zedek Med Ctr, Dept Anesthesiol, Jerusalem, Israel

来源：

FETAL DIAGNOSIS AND THERAPY | 2017年 / 42卷 / 01期

关键词：

Amniotic fluid embolus; Amniotic fluid syndrome; Amniocentesis; Anaphylaxis; Anaphylactic shock; Disseminated intravascular coagulopathy; GENETIC AMNIOCENTESIS;

D O I：

10.1159/000446983

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Amniotic fluid embolism occurring following diagnostic amniocentesis is extremely rare. Only 2 cases have been reported in the English literature over the past 55 years, the most recent one approximately 3 decades ago. We present a case of amniocentesis at 24 weeks' gestation that was performed as part of an evaluation of abnormal fetal ultrasound findings. Immediately following amniotic fluid aspiration, maternal hemodynamic collapse occurred, initially diagnosed and treated as anaphylactic shock. Shortly after initial therapy, coagulopathy was noted and amniotic fluid syndrome suspected. Rapid response restored maternal hemodynamic stability; however, the fetus had suffered fatal damage. (C) 2016 S. Karger AG, Basel

引用

页码：77 / 80

页数：4

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