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目的总结诱发羊水栓塞的原因,提出治疗措施,降低孕产妇病死率。方法收集9例羊水栓塞孕产妇,平均年龄29岁,对其发生的相关因素、临床表现、发生医院级别、评审结果进行分析。结果 5例死于肺的呼吸循环衰竭,3例死于弥散性血管内凝血,1例死于肾功能及多脏器功能衰竭。结论加强孕期保健,严格操作规程,加强产时保健,实施住院分娩,早期诊断,可提高抢救的成功率。
Objective To summarize the causes of amniotic fluid embolism, propose treatment measures and reduce maternal mortality. Methods Nine pregnant women with amniotic fluid embolism were collected. The mean age was 29 years old. The related factors, clinical manifestations, hospital grade and evaluation results were analyzed. Results 5 patients died of respiratory failure of the lungs, 3 died of disseminated intravascular coagulation, 1 died of kidney function and multiple organ failure. Conclusion To strengthen the health care during pregnancy, strict operating procedures, strengthen the health care during delivery, the implementation of hospital delivery, early diagnosis, can improve the success rate of rescue.