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羊水栓塞的诊断及治疗策略研究进展

Advances in diagnosis and treatment strategies of amniotic fluid embolism
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摘要 羊水栓塞(AFE)是一种罕见的产科危急重症,发病急,病情进展快,孕产妇预后差。虽然AFE病因已较明确,但发病机制仍不完全清楚,目前没有统一的实验室及临床诊断标准,且AFE的危险因素大多难以避免,大多数国家AFE的比例都在逐年增加。因此,AFE的早期诊断和及时有效的治疗对孕产妇的预后和生存起着决定性作用。笔者主要对AFE的各种临床表现及相关治疗策略进行综述。 Amniotic fluid embolism(AFE)is a rare critical and severe obstetric crisis characterized by acute onset,rapid disease progression,and poor maternal prognosis.Although its etiology has been better defined,the pathogenesis is still not completely understood.There are no unified laboratory or clinical diagnostic criteria,and the risk factors of AFE are mostly unavoidable,with the proportion of AFE increasing year by year in most countries.Therefore,early diagnosis and timely and effective treatment of AFE play a decisive role in maternal prognosis and survival.This author mainly reviews the various clinical manifestations and the related treatment strategies of AFE.
作者 段红霞 刘欣 栗方芝 张云起 李瑞基 庄金强 Duan Hongxia;Liu Xin;Li Fangzhi;Zhang Yunqi;Li Ruiji;Zhuang Jinqiang(College of Clinical Medicine,Jining Medical University,Jining 272067,China;Second Clinical Medical College,Jining Medical University,Jining 272067,China;Department of Respiratory and Critical Care Medicine,Gaomi Municipal People′s Hospital,Weifang 261500,China;College of Pharmacy,Jining Medical University,Rizhao 276826,China;Department of Emergency,Affiliated Hospital of Yangzhou University,Yangzhou 225002,China)
出处 《中华诊断学电子杂志》 2023年第2期133-135,共3页 Chinese Journal of Diagnostics(Electronic Edition)
基金 山东省自然科学基金青年基金项目(ZR2021QB124) 日照市自然科学基金优秀青年基金(海外)项目(RZ2021ZR1)。
关键词 栓塞 羊水 临床表现 诊断 治疗 Embolism,amniotic fluid Clinical manifestations Diagnosis Treatment
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