title: [Amniotic fluid embolism with coagulation disorder--a case report (author's transl)].
abstract: A case of amniotic fluid embolism during the delivery of a twin pregnancy is reported. After immediate resuscitation with artificial ventilation the mother and the neonates survived the acute episode. As a result of hyperfibrinolysis with premature separation of the placenta a dramatic postpartum haemorrhage occurred, which could be controlled by Fritsch' manoeuvre. Meanwhile it was possible to restore the coagulation disorder with fresh whole blood, fibrinogen and an antifibrinolytic agent (Aprotinin).
mesh_terms: D007611:Aprotinin / Q000627:therapeutic use; D001778:Blood Coagulation Disorders / Q000209:etiology*; D001803:Blood Transfusion; D004619:Embolism, Amniotic Fluid / Q000150:complications*; D005260:Female; D005340:Fibrinogen / Q000627:therapeutic use; D006801:Humans; D007744:Obstetric Labor Complications / Q000628:therapy; D011175:Positive-Pressure Respiration; D011247:Pregnancy; D012151:Resuscitation; D014427:Twins; D014620:Vacuum Extraction, Obstetrical
chemical_list: D005340:Fibrinogen; D007611:Aprotinin
vernacular_title: Fruchtwasserembolie mit Gerinnungsstörung--ein kasuistischer Beitrag.