<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-0015</journal-id>
<journal-title><![CDATA[Medicina Legal de Costa Rica]]></journal-title>
<abbrev-journal-title><![CDATA[Med. leg. Costa Rica]]></abbrev-journal-title>
<issn>1409-0015</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Medicina Forense]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-00152018000100011</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Embolismo de líquido amniótico]]></article-title>
<article-title xml:lang="en"><![CDATA[Amniotic fluid embolism]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Durón González]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bolaños Morera]]></surname>
<given-names><![CDATA[Pamela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Munkel Ramírez]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Costa Rica  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Ciencias Médicas  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<volume>35</volume>
<numero>1</numero>
<fpage>11</fpage>
<lpage>22</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-00152018000100011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-00152018000100011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-00152018000100011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El embolismo de líquido amniótico es una complicación seria y potencialmente mortal del embarazo, la cual es considerada imprevenible e impredecible. La mayoría de los casos ocurren durante la labor de parto, sin embargo hasta un tercio ocurren en el postparto inmediato. Su presentación es abrupta y se cree se debe a una respuesta anormal ante el paso de tejido fetal a la circulación materna, a través del sitio de inserción de la placenta. Ante la ausencia de criterios diagnósticos establecidos o pruebas de laboratorio específicas, los signos y síntomas clásicos como hipoxia, hipotensión y coagulopatía, en ausencia de otra explicación, conforman el diagnóstico clínico. Estos deben ser rápidamente identificados y tratados por parte de un equipo multidisciplinario, con el fin de reducir la morbilidad y mortalidad materna.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Amniotic fluid embolism is a serious and life-threatening complication of pregnancy, it is considered unpreventable and unpredictable, most cases occur during labor, however up to a third occur in immediate postpartum, its presentation is abrupt and is believed to be due to an abnormal response to the passage of fetal tissue to maternal circulation through the insertion site of the placenta. Due to the lack of established diagnostic criteria or specific laboratory tests, classic signs and symptoms such as hypoxia, hypotension and coagulopathy, in the absence of another explanation, make up the clinical diagnosis, these must be quickly identified and treated by a multidisciplinary team, in order to reduce maternal morbidity and mortality.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Embolismo de líquido amniótico]]></kwd>
<kwd lng="es"><![CDATA[síndrome anafilactoide del embarazo]]></kwd>
<kwd lng="es"><![CDATA[paro cardíaco materno]]></kwd>
<kwd lng="es"><![CDATA[síndrome de respuesta inflamatoria sistémica]]></kwd>
<kwd lng="es"><![CDATA[coagulación intravascular diseminada]]></kwd>
<kwd lng="es"><![CDATA[morbilidad materna]]></kwd>
<kwd lng="es"><![CDATA[mortalidad materna]]></kwd>
<kwd lng="es"><![CDATA[paro cardiorrespiratorio]]></kwd>
<kwd lng="es"><![CDATA[hemorragia postparto]]></kwd>
<kwd lng="en"><![CDATA[Amniotic fluid embolism]]></kwd>
<kwd lng="en"><![CDATA[anaphylactoid syndrome of pregnancy]]></kwd>
<kwd lng="en"><![CDATA[maternal cardiac arrest]]></kwd>
<kwd lng="en"><![CDATA[systemic inflammatory response syndrome]]></kwd>
<kwd lng="en"><![CDATA[disseminated intravascular coagulation]]></kwd>
<kwd lng="en"><![CDATA[maternal morbidity]]></kwd>
<kwd lng="en"><![CDATA[maternal mortality]]></kwd>
<kwd lng="en"><![CDATA[cardiorespiratory arrest]]></kwd>
<kwd lng="en"><![CDATA[postpartum hemorrhage]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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