羊水栓塞症为一极严重的产科并发症病,常发生于产妇正常分娩、剖腹产或产后片刻。产妇往往突然死亡。本病临床虽少见,但后果非常严重。最近我院发生1例,现报告如下: 患者,女,28岁,足月妊娠,G_1(妊娠)P_0(分娩)。入院检查:神清,一般情况良好。心肺(-),各项常规化验正常。因系巨大儿,头盆不称,决定行剖腹产。入手术室时脉搏、血压正常。硬膜外穿刺成功,测试麻醉平面满意后,开始手术。术至取出1个约4.5公斤健康男婴止,病人各项监测正常。病人也无不适主诉。婴儿取出约2分钟,病人血压从120/90 mmHg开始下降至80/50 mmHg。病人开始主诉胸闷,呼吸困难,即用升压药升压,面罩给O_2处理,情况未见好转,2分钟后血压更低至50/20 Amniotic fluid embolism is a very serious obstetric complications, often occurs in the normal delivery of maternal, caesarean section or postpartum moment. Mothers often die suddenly. Although rare clinical disease, but the consequences are very serious. A recent case of our hospital, are as follows: Patients, female, 28 years old, full-term pregnancy, G_1 (pregnancy) P_ (delivery). Admission examination: God clear, the general situation is good. Cardiopulmonary (-), the routine test normal. Because of the huge children, cephalopelvic disproportion, decided to line caesarean section. Into the operating room pulse, normal blood pressure. Epidural puncture success, test satisfaction with the anesthesia plane, the surgery began. Surgery to remove a about 4.5 kg of healthy male only, the patient monitoring of normal. No complaints of patients complained. The infant was removed for about 2 minutes and the patient’s blood pressure decreased from 120/90 mmHg to 80/50 mmHg. Patients complained of chest tightness, difficulty breathing, that is, with vasopressors, masks to O2 treatment, the situation did not improve, 2 minutes later lower blood pressure to 50/20