Abstract
Amniotic Fluid Embolism
Highlights
The control of foetus vitality, foetus sounds 140/min
Thirty minutes after disruption of amnion, nausea, dyspnoea, consciousness alternated with unconsciousness, cyanosis development of upper part of the body, followed by tachypnoea, symptom of blue mask, tachycardia, blood pressure was not possible to be measured, without clear symptoms of haemorrhage, babies’ hearts activity was 140 per minutes
After the surgery the patient was stabilized at anaesthesiological department with final diagnoses of embolism caused by amniotic fluid and massive lung vasoconstriction
Summary
The control of foetus vitality, foetus sounds 140/min. The cardiologist came due to clinical state of patient. According to the examination strong dilatation and dysfunction of right heart chamber were found. According to the hypercontrability of the left heart chamber a suspicion of massive lung embolism was stated. After stabilizing the patient in collaboration with obstetrics and anaesthetist, cardiologist, cardiac surgeon, and internal specialist Caesarean section with bilateral ligation artery hypogastricae and B - lynch stich for haemocoagulative disorder were performed.
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