pathophysiology Emblus(amniotic fluid component+fibrin) allergic reaction mechanic block +vagus nerve(spasm)----blood return decreasing---peripheral circulation faiture lypertetion of pulmonary artery---pulmonary edema---left heart falure+respiratory failure -coagulopathy---Dl general ischemia-enal failure
pathophysiology • Emblus(amniotic fluid component+fibrin)----- allergic reaction • --mechanic block+vagus nerve(spasm)----blood return decreasing---peripheral circulation faiture • --hypertetion of pulmonary artery---pulmonary edema---left heart faiure+respiratory failure • --coagulopathy---DIC • --general ischemia—renal failure
Clinical manifestation A time of onset B circulation and respiratory failure C shock, DIC----bleeding D. renal failure
Clinical manifestation • A. time of onset • B. circulation and respiratory failure • C. shock, DIC----bleeding • D. renal failure
di agnosis Emergent: typical clinical manifestation Pulmonary edema Definitive diagnosis: aspiration debris +DIC autopsy
diagnosis • Emergent : typical clinical manifestation • Pulmonary edema • Definitive diagnosis: aspiration:debris +DIC • autopsy
treatment 1. correct r&c failure 2.correct coagulopathy, DIC, renal dysfunction 3. Anti-allergic reaction 4. obstetric management
treatment • 1.correct R&C failure • 2.correct coagulopathy, DIC, renal dysfunction • 3.Anti-allergic reaction • 4.obstetric management
Chapter 20 genetic counseling, genetic screening, prenatal diagnosispage202
Chapter 20 genetic counseling, genetic screening, prenatal diagnosispage202