BACKGROUND Amniotic fluid embolism (AFE) is a rare, life threatening obstetric complication, often associated with severe coagulopathy. Induced abortions are extremely safe procedures however complications including AFE can occur. CASE PRESENTATION A 29-year-old previously healthy woman, gravida 1 para 0, presented for a scheduled second trimester induced abortion via dilation and evacuation at 22-weeks gestation. The case was complicated by a suspected AFE with associated profound coagulopathy. Viscoelastic point-of-care coagulation analysis was used to successfully and swiftly guide management of her coagulopathy. CONCLUSION AFE can occur in the setting of induced abortion. This case report suggests viscoelastic point-of-care coagulation analyzers may aid in the management of pregnancy-related coagulopathy by providing faster coagulation assessment than laboratory testing, and facilitating timely, targeted management of coagulopathy.

中文翻译：

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流产后羊水栓塞凝血病一例报告；使用粘弹性现场护理分析。


背景羊水栓塞（AFE）是一种罕见的危及生命的产科并发症，通常与严重的凝血功能障碍相关。人工流产是极其安全的手术，但可能会发生包括 AFE 在内的并发症。病例介绍 一名 29 岁、既往健康的女性，妊娠 1 次 0，在妊娠 22 周时通过宫腔扩张和清宫术进行了预定的妊娠中期人工流产。该病例因疑似 AFE 并伴有严重凝血功能障碍而变得复杂。粘弹性护理点凝血分析被用来成功、迅速地指导她的凝血病的治疗。结论 AFE 可能发生在人工流产的情况下。该病例报告表明，粘弹性护理点凝血分析仪可以提供比实验室测试更快的凝血评估，并促进及时、有针对性的凝血病管理，从而有助于管理与妊娠相关的凝血病。