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许多作者报导的羊水栓塞个别存活病例,均经组织学确诊,即在产妇中心静脉血中查到胎儿皮肤鳞屑和小肠粘蛋白。这些已康复的患者,其羊水栓塞的临床发病始于分娩或子宫排空之后,故诊断和治疗开始时每例都是予宫空虚的。无1例宫颈或阴道撕伤。但有两例合并边缘性胎盘早剥,在剖腹产时看到其入口是经过胎盘附着处。本文报告1例未产妇女的尸体解剖,显示脐带缠绕引起胎盘早剥和胎膜边缘撕裂,导致致命的羊水栓塞。患者30岁,孕5产4,妊娠39～40周,因不安定住院观察。血压100/70mmHg,无贫血,血型
Many authors report individual cases of amniotic fluid embolism survivors were confirmed by histology, that is, in the maternal central venous blood to detect fetal skin scales and small intestinal mucin. In these patients who have recovered, the clinical manifestations of their amniotic fluid embolism begin after childbirth or uterine emptying, so every case of diagnosis and treatment begins with an empty stomach. No case of cervical or vaginal tear. However, in two cases with marginal placental abruption, the entrance to the placenta was seen during caesarean section. This article reports on the autopsy of an unproductive woman, showing that cord entrapment causes placental abruption and tearing of the fetal membranes, leading to fatal amniotic fluid embolism. Patient 30 years old, pregnant 5 4, 39 to 40 weeks of pregnancy, hospitalized for restlessness. Blood pressure 100 / 70mmHg, no anemia, blood type