1例迟发型羊水栓塞并发急性垂体危象致困难脱机患者的抢救分析  

An analysis on one emergent case of delayed amniotic fluid embolism complicated with acute pituitary crisis leading to difficult weaning

作　　者：陈立[1] 李兰[1] 韩悦[2] 陈伯钧[3] Chen L;Li L;Han Y;Chen B J(Department of Critical Care Medicine,First Hospital Affiliated to Traditional Chinese Medicine College of Guiyang,Guiyang 550001,Guizhou,China;Department of Obstetrics,First Hospital Affiliated to Traditional Chinese Medicine College of Guiyang,Guiyang 550001,Guizhou,Chin;Department of Emergency,Higher Education Mega Center Hospital,Guangdong Province Hospital of Traditional Chinese Medicine,Guangzhou 510405,Guangdong,Chin)

机构地区：[1]贵阳中医学院第一附属医院重症医学科,贵州贵阳550001 [2]贵阳中医学院第一附属医院产科,贵州贵阳550001 [3]广东省中医院大学城医院急诊科,广东广州510405

出　　处：《中国中西医结合急救杂志》2018年第3期326-329,共4页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：国家中医药管理局“十二五”重点专科建设平台项目（国中医药政发[2012]2号-531）

摘　　要：羊水栓塞（AFE）是指在分娩过程中由于羊水突然进人母体血液循环而引起的临床综合征，发病率极低，然而病死率较高，临床表现缺乏特异性，因此常导致漏诊、误诊。现报告1例AFE并发垂体危象致困难脱机患者，以期提高大家对AFE的认识。Amniotic fluid embolism （AFE） is a clinical syndrome caused by anmiotic fluid suddenly going into the maternal blood circulation in the process of delivery, the incidence is extremely low, however, its mortality is relatively high; since its clinical manifestations lack specificities, misdiagnosis or overlook of its presence often occurs. In this article, I case of delayed amniotic fluid embolism complicated with pituitary crisis leading to difficulty in weaning mechanical ventilation was reported in order to improve the understanding of AFE.

关 键 词：羊水栓塞 垂体危象 困难脱机 

分 类 号：R248.3[医药卫生—中医临床基础]