29例孕妇羊水栓塞回顾性分析  

Retrospective analysis of 29 cases amniotic fluid embolism

作　　者：何银芳[1] 冀静[1] 武桂花[1] 郝敏[1] 

机构地区：[1]山西医科大学第一附属医院产科,山西太原030001

出　　处：《中国优生与遗传杂志》2015年第2期65-66,80,共3页Chinese Journal of Birth Health & Heredity

摘　　要：目的探讨羊水栓塞的诊治方法。方法对本院2009年-2013年在分娩过程中被拟诊为羊水栓塞的29例患者的临床资料进行了回顾性分析。结果 28例羊水栓塞患者存活,1例死亡(外院转入);均按正压给氧、抗过敏、纠正休克、解除肺动脉高压、防止DIC、心衰、纠正酸中毒及利尿等对症治疗,其中15例患者给予输血治疗;29例患者均行静脉穿刺,血样经离心见不同程度的羊水有形成分。结论早期识别并及早治疗是成功治疗羊水栓塞的关键。Objective：To discuss the treatment of amniotic fluid embolism. Methods：Retrospective analysis 29 cases of AFE in our hospital during 2009-2013. Results：28 cases of AFE were alive and well,1case was died（transferred from other hospital）;all cases were received positive oxygen,anti-allergic,remedying shock,relieve the pressure of pulmonary artery,control DIC and heart failure,remedy acidosis and diuretic,15 of cases were received blood transfusion;29cases were received venipuncture,all blood sample were centrifuged and the visible ingredient of amniotic fluid were existed. Conclusion：The key factor to cure AFE is early identification and timely treatment.

关 键 词：羊水栓塞 早期识别 及早治疗 

分 类 号：R714.468[医药卫生—妇产科学]