Embolie de liquide amniotique : évolution favorable d'une CIVD isolée et diagnostic biologique précoce

Autor: H.-J. Clement, F. Lhuillier, J.-P. Viale, C. Boisson, G. Tramoni, L. Gamerre
Rok vydání: 2006
Předmět:
Zdroj: Annales Françaises d'Anesthésie et de Réanimation. 25:633-637
ISSN: 0750-7658
DOI: 10.1016/j.annfar.2006.03.034
Popis: Amniotic embolism is a sudden, unexpected and devastating complication of pregnancy. The diagnosis is usually made on the basis of clinical presentation after excluding differential diagnosis or at autopsy in the event of death of the parturient. We need to develop simple, non-invasive, sensitive tests for a reliable and early diagnosis. We report the case of a 34-year-old woman, who presented soon after delivery, an isolated disseminated intravascular coagulation with severe haemorrhage, an haemostatic hysterectomy was required. A 3370 g child was delivered by caesarean section. The patient survived without sequelae. The diagnosis of amniotic embolism was established by the presence of amniotic cells in the maternal central venous blood as well as in the bronchoalveolar fluid.
Databáze: OpenAIRE