9例羊水栓塞临床分析

目的：分析9例羊水栓塞的诱发因素及临床诊断、处理。方法2011年7月-2016年3月在河北省迁安燕山医院妇产二科收集9例羊水栓塞的处理、母儿预后临床资料进行回顾性分析,观察出血量、出血凝否,检查血小板数量和是否存在羊水栓子等。结果发病的9例患者,均有诱因存在。该研究中产妇出现阴道大量出血而不凝的情况,根据羊水栓塞临床表现,辅以相关指标检查而确诊。其中4例症状明显,可立即确诊,5例主要表现为阴道出血。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。

Clinical Analysis of 9 Cases of Amniotic Fluid Embolism

Objective To analyze the predisposing factors, clinical diagnosis and treatment of 9 cases of amniotic fluid em-bolism. Methods In July 2011 to March 2016 in hebei province qianan region of yanshan hospital maternity second collec-tion of 9 cases of amniotic fluid embolism treatment, prognosis of female son clinical data were retrospectively analyzed, to observe the bleeding, bleeding, coagulation, check the number of platelets and the presence of amniotic fluid embolus, etc. Results The 9 patients, all had incentives to exist. In this study, a large number of maternal vaginal bleeding without coag-ulation, according to amniotic fluid embolism clinical manifestations, supplemented by relevant indicators to check and di-agnose. Of the 4 cases, the symptoms were obvious, and 5 cases were diagnosed as vaginal bleeding. 3 cases died, 6 cases were treated successfully, the death rate was 33%. In this article, 5 cases were rescued successfully, and all of the cases were operated in time. Conclusion Amniotic fluid embolism onset urgent, rapid progress, often rapidly leading to maternal death, so early diagnosis, early treatment, timely removal of the cause, is the key to the success of the rescue. Attention to anti allergy measures, such as the need to remove the uterus should be done in the whole hysterectomy.