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目的探讨迟发型羊水栓塞的诊疗方法。方法回顾性分析1例迟发型羊水栓塞的诊治过程并复习相关文献。结果患者在剖宫产后出现循环和凝血功能异常等表现,考虑发生迟发型羊水栓塞并进行积极处治,包括积极的呼吸、循环支持,纠正凝血功能紊乱等,转归良好。结论羊水栓塞多发生于分娩过程中,但也有分娩后发生迟发型羊水栓塞可能。羊水栓塞缺乏特异性诊断,早期及时发现、正确处理者预后良好。
Objective To investigate the diagnosis and treatment of delayed amniotic fluid embolism. Methods A retrospective analysis of one case of delayed amniotic fluid embolism diagnosis and treatment process and review the relevant literature. Results After the cesarean section, the patients showed abnormal circulation and coagulation function. The patients were considered good by considering the delayed amniotic fluid embolism and active treatment, including positive respiration, circulatory support and correction of coagulation disorders. Conclusion Amniotic fluid embolism occurred in the delivery process, but there are also delayed type of amniotic fluid embolism may occur after delivery. Amniotic fluid embolism lack of specific diagnosis, early detection in time, the correct treatment of patients with good prognosis.