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探讨不同时期羊水栓塞的病因及防治 被引量:1

Causes and prevention of amniotic fluid embolism at different stages
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摘要 目的研究分析不同时期发生羊水栓塞的病因及防治措施。方法回顾性分析我院2008年4月至2016年3月妇产科发生的85例羊水栓塞患者的临床资料,分析导致其羊水栓塞的病因、诊断及防治方法。结果 2008年4月至2012年3月发生羊水栓塞40例,主要以妇产科合并症为主,其次为外科干预;2012年4月至2016年3月45例以外科干预为主,其次为产科合并症。患者的临床症状有休克、呼吸困难、胸闷、DIC、昏迷,且有患者存在两种或以上病因。结论不同时期羊水栓塞发生的病因不同,准确把握患者的临床表现,早发现、早治疗是成功抢救的关键。预防的要点为坚持定期产检、坚持教育宣传、降低相关病因影响,以切断羊水栓塞的发病途径。 Objective To study the causes and preventive measures of amniotic fluid embolism at different stages.Methods Eighty-five cases of patients with amniotic fluid embolism in obstetrics and gynecology in our hospital from April 2008 to March 2016 were selected. The etiology, diagnosis and treatment of amniotic fluid embolism of the patients were analyzed. Results From April 2008 to March 2012, there were 40 cases with amniotic fluid embolism, the main reason were the gynecology and obstetrics complications, followed by surgery. From April 2012 to March 2016, the main reasons of 45 cases were about surgical intervention, followed by the gynecology and obstetrics complications. The clinical symptoms of the patients were shock, dyspnea, chest tightness, DIC and coma, there were two or more causes of the disease. Conclusion In different times, the amniotic fluid embolism has different causes, accurately grasp the patient's clinical manifestations,early detection and early treatment is the key to successful rescue. The preventive key points are stick to regular prenatal,adhere to education and propaganda, reduce the related causes, cut off the way of amniotic fluid embolism.
出处 《临床医学研究与实践》 2017年第15期125-126,共2页 Clinical Research and Practice
关键词 不同时期 羊水栓塞 病因 防治措施 different times amniotic fluid embolism pathogeny prevention measures
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