DELAYED AMNIOTIC-FLUID EMBOLISM FOLLOWING CESAREAN-SECTION UNDER SPINAL-ANESTHESIA

被引：19
|
作者：
MARGARSON, MP [1 ]
机构：
[1] CHELSEA & WESTMINSTER HOSP,MAGILL DEPT ANAESTHET,369 FULHAM RD,LONDON SW10 9NH,ENGLAND
来源：
ANAESTHESIA | 1995年 / 50卷 / 09期
关键词：
ANESTHESIA; OBSTETRIC; ANESTHETIC TECHNIQUE; REGIONAL; SPINAL; COMPLICATIONS; AMNIOTIC FLUID EMBOLISM;
D O I：
10.1111/j.1365-2044.1995.tb06145.x
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
A case of amniotic fluid embolus is described with an acute onset occurring 90 min after surgical delivery in a mildly pre-eclamptic primigravida undergoing Caesarean section for a breech presentation. Severe disseminated intravascular coagulation and massive postpartum haemorrhage were corrected and she went on to make a full recovery. The pathophysiology of a amniotic fluid embolism is discussed and new diagnostic tests are reviewed. It is suggested that in this patient an amniotic fluid collection in dilated uterine veins was mobilised as venous tone returned following the offset of spinal anaesthesia and sympathetic blockade.
引用
收藏
页码：804 / 806
页数：3
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