tailieunhanh - Báo cáo y học: "A step-by-step diagnosis of exclusion in a twin pregnancy with acute respiratory failure due to non-fatal amniotic fluid embolism: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A step-by-step diagnosis of exclusion in a twin pregnancy with acute respiratory failure due to non-fatal amniotic fluid embolism: a case report | Journal of Medical Case Reports BioMed Central Case report Open Access A step-by-step diagnosis of exclusion in a twin pregnancy with acute respiratory failure due to non-fatal amniotic fluid embolism a case report Vasilios E Papaioannou Christos Dragoumanis Vassiliki Theodorou Dimitrios Konstantonis and Ioannis Pneumatikos Address Department of Intensive Care Medicine Alexandroupolis University Hospital Democritus University ofThrace Medical School Dragana Alexandroupolis 68100 Greece Email Vasilios E Papaioannou - papabil69@ Christos Dragoumanis - christosdragoumanis@ Vassiliki Theodorou - Dimitrios Konstantonis - drkonst@ loannis Pneumatikos - ipnevmat@ Corresponding author Published 27 May 2008 Received 9 January 2008 Journal of Medical Case Reports 2008 2 177 doi 1752-1947-2-177 Accepted 27 May 2008 This article is available from http content 2 1 177 2008 Papaioannou et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Respiratory failure may develop during the later stages of pregnancy and is usually associated with tocolysis or other co-existing conditions such as pneumonia sepsis pre-eclampsia or amniotic fluid embolism syndrome. Case presentation We present the case of a 34-year-old healthy woman with a twin pregnancy at 31 weeks and 6 days who experienced acute respiratory failure a few hours after administration of tocolysis ritodrine due to preterm premature rupture of the membranes. Her chest discomfort was significantly ameliorated after the ritodrine infusion was stopped and a Cesarean section was performed 48 hours later under spinal anesthesia however 2 hours after surgery she .