AMNİYON SIVI EMBOLİSİ: OLGU SUNUMU

Amniyon sıvı embolisi (ASE) gebelikte, doğum esnasında veya doğumdan sonra gelişebilen, oldukça nadir görülen ancak yaşamı tehdit eden ciddi bir klinik durumdur. Mortalite oranlarının bazı yayınlarda %90’lara kadar ulaştığı belirtilmektedir. Kesin tanı postmortem incelemede amniyotik sıvı komponentlerinin annenin pulmoner dolaşımında görülmesi ile konur. Yaşayan hastalarda klinik tablo ile ancak teşhis konulabilir. Vakamız sağlıklı 21 yaşında multigravid, erken membran rüptürü nedeniyle sezaryen operasyonu yapılan 39 haftalık gebe idi. Sezaryen operasyonunun bitimine yakın solunum yetmezliği ve dolaşım kollapsı gelişmesi üzerine hasta yoğun bakım ünitesinde tedavi edildi. Yaklaşık 30 dakikalık kardiyopulmoner resusitasyon (KPR) ve ciddi komplikasyonlara rağmen hasta sekelsiz olarak hastaneden taburcu edildi.

Anahtar Kelimeler:

Amniyon Sıvı Embolisi, Kardiyopulmoner Arrest, Ventriküler Fibrilasyon

AMNIOTIC FLUID EMBOLISM: CASE REPORT

Amnion fluid embolism (ASE) is a very rare but life - threatening clinical condition that can develop during pregnancy, during delivery or after delivery. Mortality rates are reported to reach up to 90% in some publications. The definitive diagnosis is made by the presence of amniotic fluid components in the pulmonary circulation of the mother in postmortem examination. The diagnosis can only be made by the clinical picture of the surviving patients. Our case was a healthy 21 - year-old multigravid, and a 39 - week pregnant woman who underwent cesarean section due to early membrane rupture. When respiratory failure and circulatory collapse developed near the end of the cesarean section, the patient was treated in the intensive care unit. Despite 30 minutes of cardiopulmonary resuscitation and serious complications, the patient was discharged from the hospital without any sequelae.

Keywords:

Amniotic Fluid Embolism, Cardiopulmonary Arrest, Ventricular Fibrillation,

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