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羊水栓塞是一种严重的产科并发症,以往报道多发生在足月分娩者。近年来,发现在中期妊娠钳刮的过程中,发生羊水栓塞者并不少见,严重者可发展为播散性血管内凝血(DIG)。现将我院遇到的8例报告如下,并就诊断、治疗和预防等问题,提出我们很不成熟的意见,与大家共同商讨。临床资料分析一、发生率:本院自1972年10月到1977年10月,中期妊娠钳刮696例,8例于钳刮过程中发生了羊水栓塞,占1.15%。二、手术方式和子宫颈准备情况:8例中2例是水囊引产失败后改为钳刮术。5例分别于24小时前用
Amniotic fluid embolism is a serious obstetric complications, previously reported in more cases of full-term delivery. In recent years, it was not uncommon to find amniotic fluid embolism during the mid-term plierscreatic curettage and in severe cases to disseminated intravascular coagulation (DIG). Now eight cases of our hospital are reported as follows, and on the diagnosis, treatment and prevention and other issues, put forward our very immature opinions, to discuss with you. Clinical data analysis First, the incidence: The hospital from October 1972 to October 1977, 696 cases of mid-term pliers scraping, 8 cases of clamp in the process of amniotic fluid embolism occurred, accounting for 1.15%. Second, the surgical approach and preparation of the cervix: 2 cases of 8 cases of water bladder induced abortion was changed to clamp curettage. 5 cases were used 24 hours ago