摘要
目的探讨羊水栓塞(AFE)的早期诊断及处理原则。方法对医院6例发生羊水栓塞的临床资料进行回顾性分析。结果 6例AFE患者中,发病诱因:子痫前期(重度)1例,过期妊娠1例,前置胎盘1例,巨大胎2例,瘢痕子宫1例。结论早期诊断、及时恰当的处理是抢救成功的关键。DIC的分期不是绝对的,三期可能有重叠或交叉现象,对突然出现原因不明呼吸困难、发绀及胸闷等心肺功能障碍的孕产妇,应高度警惕羊水栓塞的可能。同时予抗休克、纠正酸中毒、维持水电解质平衡等处理。
Objective To discuss the early diagnosis and treatment amniotic fluid embolism （AFE） principle. Meth- ods The clinical data of 6 cases of AFE occurred in the hospital were retrospectively analyzed. Results The predisposing factors of six cases of AFE patients ：preeclampsia（severe） one case, prolonged pregnancy one case, placenta previa one case, a huge tire two cases, scarred uterus one case. Conclusion The early diagnosis, timely and appropriate treatment is the key to successful salvage. Disseminated intravascular coagulation（DIC） staging is not absolute, three may overlap or cross phenome- non, to a sudden unexplained dyspnea, cyanosis and chest tightness and other cardiopulmonary dysfunction in pregnant women, should be alert to the possible of amniotic fluid embolism. At the same time deal with anti-shock, correction of acidosis, maintai- ning water and electrolyte balance：
出处
《临床合理用药杂志》
2012年第25期32-33,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
羊水栓塞
弥漫性血管内凝血
诊断
治疗
Amniotic fluid embolism
Disseminated intravascular coagulation
Diagnosis
Treatment
