1 death caused by amniotic fluid embolism.docVIP

 PAGE \* MERGEFORMAT 6 1 death caused by amniotic fluid embolism [Keywords:] of amniotic fluid embolism uteroplacental apoplexy A medical record Patients, farmers, aged 37, for “9 months of menopause, vaginal bleeding more than 20 days, with recurrent abdominal pain 4 h” in at 15:50 on April 5, 2008 admission. Can not remember the last menstrual period, the private prosecutor has full-term pregnancy . pregnancy outside the hospital for check-a (specific unknown. had March 14, 2008 due to vaginal bleeding to the hospital miscarriage treatment, in the March 21, 2008 improved and discharged. hospital stable condition. private prosecution in the hospital before the 4 h due to provide re- material vaginal bleeding again, volume, no blood clots, bright red color, all the wet pants worn by three, with paroxysmal pain lower abdominal discomfort, feeling dizziness, fatigue, hospital accompanied by their families. checkup T 37 ℃ , R 20 times / min, P 92 times / min, BP 80/60 mm Hg, acute blood loss face, double conjunctiva pale, conscious, verbal exchanges to the point, cardiopulmonary negative, abdomen slightly harder. specialist examination: house high 30 cm, abdominal circumference 92 cm, fetal size estimated 2500 g, fetal heart tones 80 to 128 times / min, weak, bloody vulva, without making inside. ultrasound showed: a single live intrauterine pregnancy head position, oligohydramnios, placenta early stripping. routine blood test showed: WBC 11.0 × 109 / L, HGB 86 g / L, RBC 2.82 × 1012 / L, BPC 256 × 109 / L. Four normal blood clotting. Private Prosecution past the Fitness ,2 -0-2 -2. initial diagnosis: (1G5P2 cephalic term pregnancy birth sign, (2 placental abruption, (3, fetal distress, (4 hemorrhagic shock, (5 moderate blood loss anemia. given oxygen after admission, the input 500 ml fluid balance, blood and improve the relevant inspection (such as cross-matching of blood when the maternal chills, nausea, vomiting, NES treatment. anxious after preoperativ