Koagulopatia ze zużycia jako wiodący objaw zatoru płynem owodniowym -opis przypadku.
Amniotic fluid embolism is a rare and diagnostically challenging obstetric disease of high mortality rate. We present a case of a 33-year old parturient after vaginal birth, who presented with severe hemorrhagic shock with low platelet count and coagulopathy resistant to treatment with plasma, platelets and coagulation factors and despite of surgical management of bleeding. Laboratory findings revealed consumptive coagulopathy. Other symptoms included dyspnea and atelectatic changes on chest x-ray, together with augmentation of the heart with no proof of ventricular insufficiency in echocardiographic examination. The suspected reason of these alterations was amniotic fluid embolism. The patient survived and came back to her usual activity after 22 days of treatment.
Klinika Anestezjologii w Położnictwie i Ginekologii Uniwersytetu Medycznego w Poznaniu. smok_to@op.pl.
Agnieszka Helena
AH
Koziołek
Michał
M
Gaca
Krzysztof Szymanowski
KS
Szymanowski
Elżbieta
E
Ziętek-Bartlewicz
D000328:Adult; D004211:Disseminated Intravascular Coagulation / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D004619:Embolism, Amniotic Fluid / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications; D006473:Postpartum Hemorrhage / Q000209:etiology; D011247:Pregnancy; D012771:Shock, Hemorrhagic / Q000209:etiology* / Q000628:therapy
DIC; amniotic fluid embolism; consumptive coagulopathy; perinatal hemorrhage