摘要
目的分析9例羊水栓塞的诱发因素及临床诊断、处理。方法收集2002年1月至2010年2月间分娩的孕产妇发生的9例羊水栓塞的处理、母儿预后临床资料进行回顾性分析。结果发病的9例患者,均有诱因存在。3例死亡,6例救治成功,死亡率33%。文中抢救成功的病例,5例均及时行子宫全切手术。结论羊水栓塞起病急、进展快,常迅速导致孕产妇死亡,故早诊断、早治疗,及时去除病因,是抢救成功的关键。重视抗过敏措施,如需切除子宫应行全子宫切除。
Objective To analyze the inducing factors of 9 cases of amniotic fluid embolism and the corresponding clinical diagnosis and treatment.Methods Collecting the clinical data of 9 cases of amniotic fluid embolism happened to pregnant and lying-in women from January 2002 to February 2010 and conducting a review on the treatment.Results Discovering that inducing factors exist in all the 9 cases.Of the five cases,3 died,6 have been successfully treated.The mortality rate is 33%.5 of the successful cases have involved the operation of cutting away the uterus.Conclusion Amniotic fluid embolism happens abruptly and develops rapidly.It often inflicts death on pregnant and lying-in women.Therefore,the key to successful treatment is to have it diagnosed and treated early so as to get away from the potential danger in time.Besides,attention should be paid to measures of anti-allergy.If needed,uterus should be removed.
出处
《中外医疗》
2011年第18期67-68,共2页
China & Foreign Medical Treatment
关键词
羊水栓塞
地塞米松
早期诊断
全子宫切除
amniotic fluid embolism
dexamethasone
early diagnosis
uterus removal
