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中华产科急救电子杂志 ›› 2019, Vol. 08 ›› Issue (01) : 32 -37. doi: 10.3877/cma.j.issn.2095-3259.2019.01.008

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"羊水栓塞临床诊断与处理专家共识(2018)"解读
林小凤1, 樊尚荣1,()   
  1. 1. 518036 深圳,北京大学深圳医院妇产科
  • 收稿日期:2019-01-08 出版日期:2019-02-18
  • 通信作者: 樊尚荣

Interpretation of the Expert Consensus on Clinical Diagnosis and Treatment of Amniotic Fluid Embolization (2018)

Xiaofeng Lin1, Shangrong Fan1()   

  • Received:2019-01-08 Published:2019-02-18
  • Corresponding author: Shangrong Fan
引用本文:

林小凤, 樊尚荣. "羊水栓塞临床诊断与处理专家共识(2018)"解读[J]. 中华产科急救电子杂志, 2019, 08(01): 32-37.

Xiaofeng Lin, Shangrong Fan. Interpretation of the Expert Consensus on Clinical Diagnosis and Treatment of Amniotic Fluid Embolization (2018)[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2019, 08(01): 32-37.

表1 AFE的发病率和病死率
图1 羊水栓塞心肺衰竭的发病机制示意图。A.羊水栓塞时首先发生肺血管痉挛;B.右心室血液流向肺阻力增加,右心室衰竭增大;C.左心房从肺回心血液减少;D.左心室输出减少,出现低血压、低氧血症和心脏骤停
表2 AFE抢救常用药物及其用法[1,26]
图2 AFE的救治流程图。A.循环和呼吸支持,心脏骤停者进行基础心脏生命支持和高级心脏生命支持,补充血液制品;B.胎儿娩出前发病者及时终止妊娠;C.多学科救治和做好预案
[1]
Society for Maternal-Fetal Medicine (SMFM), Pacheco LD,Saade G, et al. Amniotic fluid embolism: diagnosis and management[J]. Am J Obstet Gynecol, 2016, 215(2): B16-24.
[2]
古航,杨慧霞,王谢桐等. 羊水栓塞临床诊断与处理专家共识(2018)[J]. 中华妇产科杂志,2018, 53(12): 1-5.
[3]
Knight M,Berg C,Brocklehurst P, et al. Amniotic fluid embolism incidence, risk factors and outcomes: a review and recommendations[J]. BMC Pregnancy Childbirth, 2012, 12: 7.
[4]
Rath WH,Hoferr S,Sinicina I. Amniotic fluid embolism: an interdisciplinary challenge: epidemiology, diagnosis and treatment[J]. Dtsch Arztebl Int, 2014, 111(8): 126-132.
[5]
Kramer MS,Rouleau J,Liu S, et al. Amniotic fluid embolism: incidence, risk factors, and impact on perinatal outcome[J]. BJOG, 2012, 119(7): 874-879.
[6]
Mu Y,McDonnell N,Li Z, et al. Amniotic fluid embolism as a cause of maternal mortality in China between 1996 and 2013: a population-based retrospective study[J]. BMC Pregnancy Childbirth, 2016, 16(1): 316.
[7]
Fong A,Chau CT,Pan D, et al. Amniotic fluid embolism: antepartum, intrapartum and demographic factors[J]. J Matern Fetal Neonatal Med, 2015, 28(7):793-798.
[8]
Fitzpatrick KE,Tuffnell D,Kurinczuk JJ, et al. Incidence, risk factors, management and outcomes of amniotic-fluid embolism: a population-based cohort and nested case-control study[J]. BJOG, 2016, 123(1):100-109.
[9]
McDonnell N,Knight M,Peek MJ, et al. Amniotic fluid embolism: an Australian-New Zealand population-based study[J]. BMC Pregnancy Childbirth, 2015, 15: 352.
[10]
Steiner PE,Lushbaugh CC. Landmark article, Oct. 1941: Maternal pulmonary embolism by amniotic fluid as a cause of obstetric shock and unexpected deaths in obstetrics[J]. JAMA, 1986, 255(16): 2187-203.
[11]
Funk M,Damron A,Bandi V, et al. Pulmonary vascular obstruction by squamous cells is not involved in amniotic fluid embolism[J]. Am J Obstet Gynecol, 2018, 218(4): 460-461.
[12]
Clark SL. Amniotic fluid embolism[J]. Obstet Gynecol, 2014, 123(2 Pt 1): 337-348.
[13]
Nakagami H,Kajihara T,Kamei Y, et al. Amniotic components in the uterine vasculature and their role in amniotic fluid embolism[J]. J Obstet Gynaecol Res, 2015, 41(6): 870-875.
[14]
Ecker JL,Solt K,Fitzsimons MG, et, al. Case records of the Massachusetts General Hospital. Case 40-2012. A 43-year-old woman with cardiorespiratory arrest after a cesarean section[J]. N Engl J Med, 2012, 367(26): 2528-2536.
[15]
Tamura N,Kimura S,Farhana M, et al. C1 esterase inhibitor activity in amniotic fluid embolism[J]. Crit Care Med, 2014, 42(6):1392-1396.
[16]
Todo Y,Tamura N,Itoh H, et al. Therapeutic application of C1 esterase inhibitor concentrate for clinical amniotic fluid embolism: a case report[J]. Clin Case Rep, 2015, 3(7): 673-675.
[17]
Kanayama N,Tamura N. Amniotic fluid embolism: pathophysiology and new strategies for management[J]. J Obstet Gynaecol Res, 2014, 40(6): 1507-1517.
[18]
Akasaka M,Osato K,Sakamoto M, et al. Practical use of C1 esterase inhibitor concentrate for clinical amniotic fluid embolism[J]. J Obstet Gynaecol Res, 2018, 44(10):1995-1998.
[19]
Kobayashi H. Amniotic fluid embolism: anaphylactic reactions with idiosyncratic adverse response[J]. Obstet Gynecol Surv, 2015, 70(8): 511-517.
[20]
Maack KH,Munk K,Dahl K, et al. Right heart masses demonstrated by echocardiography in a patient with amniotic fluid embolism during labour[J]. Acta Anaesthesiol Scand, 2018, 62(1):134-137.
[21]
Porat S,Leibowitz D,Milwidsky A, et al. Transient intracardiac thrombi in amniotic fluid embolism[J]. BJOG,2004, 111(5): 506-510.
[22]
Asakura H,Takahashi H,Uchiyama T, et al. Proposal for new diagnostic criteria for DIC from the Japanese Society on Thrombosis and Hemostasis[J].Thromb J, 2016, 14: 42.
[23]
Vasquez DN,Das Neves AV,Vidal L, et al. ProPOC Study Group. Characteristics, outcomes, and predictability of critically Ill obstetric patients: a multicenter prospective cohort study[J]. Crit Care Med, 2015, 43(9): 1887-1897.
[24]
Clark SL,Romero R,Dildy GA, et al. Proposed diagnostic criteria for the case definition of amniotic fluid embolism in research studies[J]. Am J Obstet Gynecol, 2016, 215(4): 408-412.
[25]
时春艳,丁秀萍,张梦莹,等. 羊水栓塞的早期识别和团队流程化抢救[J]. 中华妇产科杂志,2016, 51(5): 397-400.
[26]
Zochios V,Parhar K,Tunnicliffe W, et al. The right ventricle in ARDS[J]. Chest, 2017, 152(1): 181-193.
[27]
徐杰丰,张茂. 美国心脏学会关于孕妇心脏骤停的科学声明[J]. 中华急诊医学杂志,2017, 26(2): 147-148.
[28]
Truhlar A,Deakin CD,Soar J, et al. Cardiac arrest in special circumstances section Collaborators. European Resuscitation Council Guidelines for Resuscitation 2015: Section 4. Cardiac arrest in special circumstances[J]. Resuscitation, 2015, 95: 148-201.
[29]
Kikuchi J,Deering S. Cardiac arrest in pregnancy[J]. Semin Perinatol, 2018, 42(1): 33-38.
[30]
Jeejeebhoy FM,Zelop CM,Lipman S, et al. Cardiac arrest in pregnancy: a scientific statement from the American Heart Association[J]. Circulation, 2015, 132(18):1747-1743.
[31]
Duräes AR,Figueira FA,Lafayette AR, et al. Use of venoarterial extracorporeal membrane oxygenation in fulminant chagasic myocarditis as a bridge to heart transplant[J]. Rev Bras Ter Intensiva, 2015, 27(4): 397-401.
[32]
Seong GM,Kim SW,Kang HS, et al. Successful extracorporeal cardiopulmonary resuscitation in a postpartum patient with amniotic fluid embolism[J]. J Thorac Dis. 2018, 10(3): E189-E193.
[33]
Musia R,Moncznik P,Šmiaek P, et al. Veno-arterial extracorporeal membrane oxygenation for short-term mechanical circulation support in adults with cardiogenic shock: a single centre experience[J]. Kardiol Pol, 2016, 74(12): 1477-1484.
[34]
Fang ZA,Van Diepen S. Royal Alexandra Hospital and University of Alberta Hospital Cardiac Arrest Teams. Successful inter-hospital transfer for extracorporeal membrane oxygenation after an amniotic fluid embolism induced cardiac arrest[J]. Can J Anaesth, 2016, 63(4): 507-508.
[35]
Tincrès F,Conil JM,Crognier L, et al. Veno-arterial extracorporeal membrane oxygenation in a case of amniotic fluid embolism with coexisting hemorrhagic shock: lessons learned[J]. Int J Obstet Anesth, 2018, 33: 99-100.
[36]
Shen HP,Chang WC,Yeh LS, et al. Amniotic fluid embolism treated with emergency extracorporeal membrane oxygenation: a case report[J]. J Reprod Med, 2009, 54(11-12): 706-708.
[37]
McDonald C,Laurie J,Janssens S, et al. Successful provision of inter-hospital extracorporeal cardiopulmonary resuscitation for acutepost-partum pulmonary embolism[J]. Int J Obstet Anesth, 2017, 30: 65-68.
[38]
Tanaka H,Matsunaga S,Yamashita T, et al. A systematic review of massive transfusion protocol in obstetrics[J]. Taiwan J Obstet Gynecol, 2017, 56(6): 715-718.
[39]
WOMAN Trial Collaborators. Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage[WOMAN]: an international, randomised, double-blind, placebo-controlled trial[J]. Lancet, 2017, 389(10084): 2105-2116.
[40]
Conde-Agudelo A,Romero R. Amniotic fluid embolism: an evidence-based review[J]. Am J Obstet Gynecol, 2009, 201(5): 445.e1-445.13.
[41]
Balinger KJ,Chu Lam MT,Hon HH, et al. Amniotic fluid embolism: despite progress, challenges remain[J]. Curr Opin Obstet Gynecol,2015, 27(6): 398-405.
[42]
Benson MD. Amniotic fluid embolism mortality rate[J]. J Obstet Gynaecol Res, 2017, 43(11):1714-1718.
[43]
Rose CH,Faksh A,Traynor KD, et al. Challenging the 4- to 5-minute rule: from perimortem cesarean to resuscitative hysterotomy[J]. Am J Obstet Gynecol, 2015, 213(5):653-656.
[44]
Stanten RD,Iverson L,Daugharty TM, et al. Amniotic fluid embolism causing catastrophic pulmonary vasoconstriction: diagnosis by transesophageal echocardiogram and treatment by cardiopulmonary bypass[J]. Obstet Gynecol, 2003, 102(3): 496-498.
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