医学交流课件：羊水栓塞.pdfVIP

无痛分娩中国行 Amniotic Fluid Embolism 羊水栓塞 一个麻醉医生的理解 CASE 38 yo AAF, G7P6, EGA: 33 wks, vaginal bl ding. U/S: placental previa. one previous c/s and subsequent VBAC. Rushed to OR b/o a large amount of blood on the bed. GETA, RSI. Soon after baby delivered, sBP: 40-60 mmHg, EtCO2 :10. 38岁，孕7产6，33周，胎盘前置，剖宫产史。大出血，紧急插管全麻，胎 儿娩出后，血压突降至40-60，EtCO2 降至~15 发生了什 Two Major Concerns  Preload: Hypovolemia, Obstruction, Raised thoracic P  CO