羊水栓塞18例临床分析

A CLINCIAL ANALYSIS OF 18 CASES OF AMNIOTIC FLUID EMBOLISM

本文分析了我院1991年5月至1996年5月共治疗的18例羊水栓塞。其诱因主要为宫缩过强，静滴催产素加速产程，剖宫产术，羊水混浊，人工破膜等。在治疗上采用DROP－CHHEBS方案获得了较好效果，强调肝素是治疗羊水栓塞的不可缺少措施。作者认为治疗羊水栓塞的关键是及早诊断，及时治疗。还讨论了羊水栓塞的预防措施。

Authors reviewed clinical data of 18 cases of amniotic fluid embolism (AFE), collected from People's Hospital of PanYuCity between May 1991 and May 1996. The results showed that the main induced factors were over-vigorous contraction of uterus,accelerate labor with oxytocin infusion, cesarean section, amniotic fluid stained and artificial amniorrhexis et al. The excellent results were sustained in patients treated with DROP-CHHEBS regimens. It was emphasized that heparin is a key medicine for treating AFE. The authors concluded that the key to treat is early diagnosis and prompt treatment. The AFE prevention was discussed in the study yet.