1例牙龈出血为首发症状羊水栓塞产妇的急救护理

The emergency nursing of a woman with amniotic fluid embolism whose first symptom was gingival bleeding

总结1例以牙龈出血为首发症状羊水栓塞产妇的急救护理体会。护理要点:针对首发症状不典型的羊水栓塞产妇,护士早期快速识别和高级生命支持是关键;多学科快速反应团队的配合协作与精准决策、抢救物品的完备管理、常态化的模拟演练及持续救治流程的优化改进是提高羊水栓塞抢救成功率的重要因素。经积极抢救及护理,产妇和新生儿状况良好,产后12 d出院,预后良好。

To summarize the emergency nursing of a woman with amniotic fluid embolism(AFE)whose first symptom was gingival bleeding.For atypical AFE,early identification and advanced life support are keys to manage AFE.Collaboration and precise decision-making of multi-disciplinary rapid response team,complete management of rescue equipment,daily mock drills and continuous procedure optimization are im portant factors to improve the success rate of AFE rescue.After rescue and specialized nursing,the puerpera and new bo r n were in good condition,the patient was discharged 12 days later and prognosis was good.