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通过对近年来剖宫产术中羊水栓塞8例病人成功抢救的回顾性分析总结,形成一套及时、有序、有效的手术室内诊断抢救方法,对减少羊水栓塞发生率,减少发生羊水栓塞症产妇死亡率及栓塞后遗症发生率均有一定的积极意义。1临床资料1.1患者,女,29岁,体重69kg,ASA分级I级。无术前用药。连续硬膜外神经阻滞下行剖宫产术。麻醉效果良好。剖开子宫及羊膜腔取胎儿时,患者诉胸闷、呼吸困难。出现躁动、尖叫一声后出现呼吸骤停,口腔内溢出少量白色泡沫痰液,昏迷,脉缓(P)35次/min,心电图示窦性心动过缓,心率
Through retrospective analysis of 8 cases of amniotic fluid embolism in cesarean section in recent years, a set of timely, orderly and effective method for the diagnosis and treatment of intraoperative amniotic fluid embolism has been established, which can reduce the incidence of amniotic fluid embolism and reduce the occurrence of amniotic fluid embolism Maternal mortality and embolism sequelae have a certain positive significance. 1 clinical data 1.1 patients, female, 29 years old, weight 69kg, ASA grade I level. No preoperative medication. Continuous epidural blockade of cesarean section. Narcotic effect is good. Cut open the uterus and amniotic fetus fetus, patients complain chest tightness, difficulty breathing. Appear agitation, scream after a sudden respiratory arrest, spilled a small amount of oral white foam sputum, coma, pulse slow (P) 35 times / min, ECG shows sinus bradycardia, heart rate