羊水栓塞的成功治疗

Zümrüt ÇALIŞKAN ŞENAY, Atakan Tanacan, Özgür Kara, Namık Özcan, Dilek Sahi̇n
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引用次数: 0

摘要

羊水栓塞(AFE)是一种产科急症,产妇和胎儿的死亡率和发病率都很高。决定预后的最重要因素是早期诊断和治疗。我们介绍了一例羊水栓塞病例,通过早期诊断和及时处理,该病例得到了成功治疗。患者 20 岁,10 天前因胎儿肾脏异常接受了尿瘤引流术和脐带穿刺术,在分娩过程中出现呼吸停止,阴道分娩后约 90 分钟出现大量出血。根据我们对 AFE 的定义,患者很快接受了大量输血、纤维蛋白原置换和宫内球囊治疗。经临床诊断并排除鉴别诊断后,她被确诊为 AFE。她在无并发症的情况下出院。
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Amniyotik Sıvı Embolisi Olgusunun Başarılı Yönetimi
Amniotic fluid embolism (AFE) is an obstetric emergency with high maternal and fetal mortality and morbidity. The most important factor in determining the prognosis is early diagnosis and treatment. We present a case of amniotic fluid embolism that was successfully treated with early diagnosis and intime management. Respiratory arrest developed during labor in a 20-year-old patient who underwent urinoma drainage and cordocentesis for fetal renal anomaly 10 days ago and then profuse bleeding occurred approximately 90 minutes after vaginal delivery. With our definition of AFE, massive blood transfusion, fibrinogen replacement and intrauterine balloon were applied quickly. The diagnosis of AFE was made clinically and excluding differential diagnoses. She was discharged without complications.
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