急性羊水栓塞3例临床分析

Clinical Analysis of Acute Amniotic Fluid Embolism: 3 Cases Report

目的探讨羊水栓塞的临床特点与诊断要点。方法对本院发生的3例羊水栓塞病例的临床特点及诊治过程进行回顾性分析,具体描述临床表现,实验室检查,治疗和结果。结果本组3例均明确诊断,经积极治疗,2例取得良好预后,1例植物人状态。结论根据羊水栓塞的临床特点及诊断标准,及时准确做出羊水栓塞的诊断是救治羊水栓塞,挽救孕产妇生命的关键。羊水栓塞临床表现大相径庭,及早判断和积极处理是抢救成功的关键。

Objective To explore the clinical characteristics and diagnosis of amniotic fluid embolism(AFE). Methods A retrospective analysis was made for the clinical characteristics and treatment process of 3 cases with AFE in our hospital. the clinical manifestations, laboratory examinations, clinical treatment and outcome of AFE were described.Results 3 cases were all diagnosed definitely. Through active treatment, 2 of the patients leave the hospital with good outcome, another one was in vegetable state. Conclusion According to the clinical characteristics and diagnostic criteria of AFE, making the right diagnosis of a AFE is the key piont of saving the patient’s life. Since clinical manifestations of AFE are quite different, the key points of successful rescue were to diagnose timely and treat actively.