羊水栓塞8例临床分析

目的探讨8例羊水栓塞的治疗方法,总结认识与体会。方法回顾性分析8例羊水栓塞的治疗及母儿预后的临床资料。结果8例均出现血压下降、休克,7例发生前驱症状的临床表现。其中存活7例,死亡1例。结论抢救成功的关键为早期识别症状,正确地做出诊断,及时应用肾上腺皮质激素、肝素,快速补充血容量及纤维蛋白原,去除致病因子,及早行全子宫切除术。对提高羊水栓塞患者抢救成功率有很大临床价值。

CLINICAL ANALYSIS ON 8 CASES AMNIOTIC FLUID EMBOLISM

Objective To probe into the treating method for 8 patients with amniotic fluid embolism and summarize the cognition and experience.Methods A retrospective analysis was made on the treatment of 8 patients with amniotic fluid embolism and the prognosis clinical material of mother and baby.Results All of them had the drop of blood pressure and shock.7 cases had premonitory symptom.7 cases had survived and 1 case had been dead.Conclusion It is very important for the successful rescuing that the symptom is found out in early period, diagnosis is correctly made, adrenocortical hormones and heparin are used in time, amount of blood and fibrinogen level were supplied quickly, pathogenic factors are removed and subtotal hysterectomy can be carried out early, which has absolutely clinical value for the successful rescuing patients with amniotic fluid embolism.