摘要
目的：总结、分析上海市１９８５～１９９５年间的７５例羊水栓塞（ＡＦＥ）患者，以冀今后降低ＡＦＥ的发生，保障母亲的安全。方法：研究ＡＦＥ患者的临床表现、诊断及处理。结果：７５例ＡＦＥ患者中死亡５４例，占６８％；存活２４例、占３２％。诱发ＡＦＥ的因素以宫缩过强、急产、胎膜早破、人工破膜，催产素引产等为主，有一种以上诱因者更易发生ＡＦＥ。ＡＦＥ着重预防，治疗推荐ＤＲＯＰ－ＣＨＨＥＢＳ方案，并应予以正确的产科处理。２４例存活者均因此种措施而获救。结论：ＤＲＯＰ－ＣＨＨＥＢＳ方案与正确、适时地结束分娩是抢救ＡＦＥ患者成功的经验。
Objective To investigate the effective measurements for the prevention and treatemt of 75 patients with AFE. Methods A retrospective analysis of 75 cases of AFE was carried out. Results 61.4% of AFE occured before and during labour in this materials.Matermal mortality was 68%.Survival rate was 32%.The predisposing factors were PROM,hydramnios,hypercontraction of uterus,oxytocin usage etc.According to the 24 survival cases,a DROP CHHEBS therapy was established and adequate obstetrical treatment could be used to reduce maternal mortality of AFE patients.These were also helpful for maternal and newborn health. Conclusion DROP CHHEBS therapy and adequate obstetrical treatment should be used to reduce maternal mortality of AFE patients.
出处
《现代妇产科进展》
CSCD
1997年第3期229-232,共4页
Progress in Obstetrics and Gynecology
关键词
羊水栓塞
病例分析
Amniotic fluid embolism
DROP CHHEBS therapy
