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目的了解羊水栓塞产妇不同部位血液羊水成份及含量。方法分别采集羊水栓塞产妇的下腔静脉、右心房、桡动脉、肘静脉部位的血液涂片观察羊水成份。结果5例羊水栓塞产妇血液中均找到游离脂肪滴、鳞状上皮、结晶样透明物等羊水成份,其中游离脂肪滴含量较多,并以下腔静脉、右心房血中最多,桡动脉血中次之,肘静脉血中最少。结论临床疑似羊水栓塞时,羊水成份的检出与羊水进入母体循环的量密切相关,且不同部位血液羊水成份检出程度不同,下腔静脉、右心房或动脉血容易找到羊水成份,而外周静脉血中较前三者少。
Objective To understand the amniotic fluid composition and content of blood amniotic fluid in different parts of mothers with amniotic fluid embolism. Methods Amniotic fluid embolism were collected from the inferior vena cava, the right atrium, the radial artery and the elbow vein to observe the amniotic fluid components. Results 5 cases of amniotic fluid embolism found in the blood of free fat droplets, squamous epithelium, crystal-like transparent substance such as amniotic fluid components, including free fat droplets more content and inferior vena cava, right atrial blood in the most, radial artery secondary The elbow venous blood in the least. Conclusions Clinically suspected amniotic fluid embolism, the detection of amniotic fluid components and the amniotic fluid into the maternal circulation is closely related to the amount of amniotic fluid components and different parts of the detection of different levels, inferior vena cava, right atrium or arterial blood easily find amniotic fluid components, and peripheral venous Less blood than the first three.