15例羊水栓塞产妇诊治救治回顾性分析

Retrospective Analysis of 15 Cases of Amniotic Fluid Embolism in Diagnosis and Treatment

目的对15例羊水栓塞产妇的诊治救治进行回顾性分析,为临床治疗羊水栓塞提供参考,以提高救治成功率。方法对2014年6月—2016年12月我院ICU病房住院治疗的羊水栓塞的产妇临床资料进行回顾性分析。结果我院收治羊水栓塞产妇15例,其中8例为初产妇,7例为经产妇;子宫切除10例,死亡1例。结论 AFE的治疗关键点在于及早发现,及早抢救,迅速、果断地判断以及多学科合作,治疗过程中需注意纠正缺氧、维持患者心肺功能、适时补充体液、补充新鲜血液并注意炎症反应的发生,及时给予抗炎治疗。

Objective To retrospective analysis on the diagnosis and treatment of amniotic fluid embolism in 15 cases, so as to provide reference for clinical treatment of amniotic fluid embolism, and provide a reference to improve the success rate of treatment. Methods The clinical data of amniotic fluid embolism in ICU ward of our hospital from June 2014 to December 2016 were analyzed retrospectively. Results 15 cases of amniotic fluid embolism were admitted in our hospital, including 8 cases of primipara, 7 cases of parturients; hysterectomy was performed in 10 cases, and death in 1 cases. Conclusion The key point of AFE treatment is early detection, early rescue, rapid and decisive judgment and multidisciplinary cooperation. The treatment process should pay attention to correct hypoxia, maintenance of patients with cardiopulmonary function, timely replenishment of body fluids, add fresh blood and attention to the occurrence of inflammatory response, and give anti-inflammatory treatment in time.