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浅谈羊水栓塞的早期诊断及抢救方法

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目的:探讨羊水栓塞的早期诊断及临床治疗方法。方法:回顾性分析2008年4月~2012年4月在我院进行诊断治疗的8例羊水栓塞患者的临床资料。明确诊断后,给予患者抗休克、抗过敏、扩张肺支气管、疏通微循环等治疗。结果:本组8例羊水栓塞患者,6例抢救成功。对于羊水栓塞患者,其抢救成功与否主要取决于诊断时间及分娩方式。其中,5例羊水栓塞在剖宫产手术中发现,经及时抢救成功;1例在死胎自然分娩后发生,抢救成功。2例在自然分娩中发生,抢救失败后死亡。结论:对于羊水栓塞患者,其抢救成功与否主要取决于处于母体循环中的羊水量以及诊断处理的时间。
Objective: the early diagnosis and clinical treatment of amniotic fluid embolism. Methods: a retrospective analysis of diagnosis and treatment of 8 cases of amniotic fluid embolism in patients with clinical data in our hospital in 2008 April~2012 year in April. After patients with clear diagnosis, patients were given anti shock, anti allergic, dilation of the pulmonary bronchial, dredge asked cycle. Results: 9 cases of amniotic fluid embolism, successful rescue of 6 patients with well, time to diagnosis mainly depends on the amniotic fluid embolism and mode of delivery. In 5 of these patients is found for cesarean section operation, with timely rescue success; 1 patients occurred in the fetus after natural childbirth conditions, after the rescue success. The remaining 2 patients occurred in natural childbirth, failure to rescue the final death. Conclusion: amniotic fluid embolism patients rescue success depends largely on whether or not in the amniotic fluid in the maternal circulation quantity and time of diagnosis and treatment.

early diagnosis of amniotic fluid embolismrescue

马建爽、商娟

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东营市广饶县人民医院 山东 东营 257300

羊水栓塞 早期诊断 抢救

2014

求医问药(下半月)
求医问药杂志社

求医问药(下半月)

ISSN:1672-2523
年,卷(期):2014.(2)
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