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在剖腹产期间由于羊水栓塞引起的突然多重血瘤的情况

Shohei Tanabe¹, Akiko Yoshimoto¹, Sachiyo Sugino¹

¹Kobe City Medical Center, West Hospital, Japan.

International journal of surgery case reports

|June 2, 2023

概括

在剖腹产期间可能出现多重血瘤,这是羊水栓塞 (AFE) 的罕见迹象. 这一案例突出了传播性血管内凝血 (DIC) 类型的AFE作为原因,强调了对这些非典型表现的临床关注的必要性.

科学领域:

产科和妇科产科和妇科
血液学血液学血液学
关键护理医学关键护理医学

背景情况:

胎液栓塞 (AFE) 是一种罕见但往往致命的产科紧急情况.
血液瘤是AFE的一个不常见的表现.

研究的目的:

报告一个多重血瘤病例作为一种罕见的羊水栓塞 (AFE) 呈现.
调查多重血瘤,扩散性血管内凝血 (DIC) 和AFE之间的关联.

主要方法:

一个患者接受剖腹产的病例报告.
在手术期间监测血瘤的形成和出血.
实验室分析包括血红蛋白,纤维素和C3水平.
用于管理的血液制品和血的使用.

主要成果:

在剖腹产期间突然出现多重血瘤,与切口部位无关.
在手术期间出血和降低血红蛋白和纤维素原水平.
最初的血液产品输血不足;进一步的输血改善了水平.
放电后的测试显示C3水平下降,支持DIC型AFE.

结论:

多重血腫可能是DIC型AFE的非典型呈現症狀.
分布式血管内凝血 (DIC) 涉及到血液静止障碍,导致AFE中的血液瘤.
降低C3水平作为DIC型AFE的诊断指标.

关键词:

胚胎液栓塞胚胎液栓塞胚胎液栓塞剖腹产是剖腹产的一部分.散布的血管内凝血.血瘤是一种血液瘤.

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