Zhang, a woman from Xiangtan County, Hunan Province, died after a caesarean section at the Xiangtan County Maternal and Child Health Hospital, which attracted widespread attention. At present, the hospital involved has initially diagnosed the cause of death as multiple organ failure caused by amniotic fluid embolism.
Many citizens do not know about amniotic fluid embolism. Professor Chen Dunjin, director of the Guangzhou Critical Care Obstetrics and Gynecology Treatment Center and the Third Affiliated Hospital of Guangzhou Medical University, said in an interview that the disease is one of the most dangerous complications in obstetrics, with a mortality rate as high as 60%. This is the last thing obstetricians want to encounter. to things. question.
Chen Dunjin introduced that amniotic fluid embolism is a dangerous obstetric complication caused by amniotic fluid and its tangible substances entering the maternal blood circulation.
\”Some complications may occur during delivery, including uterine rupture, premature rupture of membranes, postpartum hemorrhage, amniotic fluid embolism, etc. Currently, amniotic fluid embolism has been ranked third in maternal deaths in my country, accounting for the third largest number of maternal deaths. \”15%-20%, the first is postpartum hemorrhage. \”
Chen Dunjin introduced that amniotic fluid embolism is rare in clinical practice. The incidence rate is about 1/5,000 to 1/20,000, and the mortality rate exceeded 80% in the past. In the past five years, due to changes in diagnostic standards and the development of medical technology, the mortality rate has declined, but is at least above 60%.
\”70% of amniotic fluid embolism occurs during delivery, and 30% occurs after delivery. But once it occurs, it is very dangerous. It only takes 8 minutes to 2 hours from onset to death.\” Chen Dunjin introduced that for this reason, the medical community believes that amniotic fluid embolism It’s “obstetric death.”
How is amniotic fluid embolism diagnosed? Chen Dunjin believes that obstetricians should always be alert to the possibility of amniotic fluid embolism and perform a series of advanced life expectancy tests quickly and actively when pregnant women experience sudden dyspnea, cardiogenic shock, convulsions, unexplained intrauterine distress, abnormal bleeding, etc. support. ICU. Mainly treat patients and strive for success rate of treatment. In September 2011, the Third Affiliated Hospital of Guangzhou Medical University successfully rescued a pregnant woman with severe amniotic fluid embolism. With multidisciplinary cooperation, the patient\’s vital signs gradually stabilized, and he was successfully discharged from the hospital under the careful treatment of obstetrics and intensive care experts. \”Fifty thousand ml of blood was transfused at that time.\”
Chen Dunjin said that there is currently no particularly good method to proactively prevent amniotic fluid embolism. \”In fact, amniotic fluid embolism may occur in both natural delivery and cesarean section, but the incidence of amniotic fluid embolism in cesarean section is much higher than that in normal delivery.\” \”