...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>International journal of obstetric anesthesia >Massive amniotic fluid embolism: diagnosis aided by emergency transesophageal echocardiography.
【24h】

Massive amniotic fluid embolism: diagnosis aided by emergency transesophageal echocardiography.

机译：大量羊水栓塞：急诊经食管超声心动图检查有助于诊断。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

A 36-year-old woman was hospitalized at term and in labor at 3-cm cervical dilatation. The early labor course was remarkable only for oxytocin augmentation and combined spinal-epidural analgesia. Eight hours after admission, tetanic uterine contractions ensued, followed by persistent fetal bradycardia. An emergency cesarean section was performed and a viable male infant was delivered. Intraoperatively, a placental abruption was identified, and disseminated intravascular coagulation and persistent hypotension developed despite resuscitative efforts. Transesophageal echocardiography revealed normal left ventricular contractility and gross enlargement of the right ventricle and main pulmonary trunk, consistent with acute right ventricular pressure overload and underloading of the left ventricle. Despite resuscitative efforts, the patient died three hours postoperatively. Autopsy showed extensive microvascular plugging of the pulmonary capillaries by fetal cells in all lung fields. This is a rare case of amniotic fluid embolism diagnosed in part and managed pre-mortem with transesophageal echocardiography and confirmed by autopsy findings.
机译：一名36岁的妇女在足月和分娩时因宫颈扩张3厘米而住院。早期分娩过程仅在催产素增强和脊髓硬膜外联合镇痛中才很显着。入院八小时后，发生强直性子宫收缩，继而持续发生胎儿心动过缓。进行了紧急剖腹产，并分娩了一名活泼的男婴。术中发现胎盘早剥，尽管进行了复苏，但弥散性血管内凝血和持续性低血压发生。经食道超声心动图检查发现左心室收缩正常，右心室和主肺干粗大，与急性右心室压力超负荷和左心室负重相符。尽管采取了复苏措施，但患者术后三小时死亡。尸检显示，在所有肺野中，胎儿细胞对肺毛细血管的广泛微血管堵塞。这是一例罕见的羊水栓塞病例，经部分食道超声心动图检查诊断为死前，并经尸检证实。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号