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羊水栓塞是严重威胁产妇生命的一种危症,病死率极高。对于本病的诊断,历来认为只有抽右心血检得羊水成份或经尸解才能确诊。近年来有报道,从羊水栓塞病例中心静脉插管取得之血中,或从肺水肿吐出之痰中,查到羊水成份;或在存活病人中系统做肺部碘大分子聚合蛋白光点扫描获得确诊。但上述检查方法,不是每个医院都有这种条件。我院曾在1966年对一例羊水栓塞病人,抽周圈静脉血作浓缩涂片,试图寻找胎儿鳞状上皮细胞以获得病理根据,终于得到阳性结果。以后取得其他医院配合,在临床症状拟诊为羊水栓塞病人中,抽手臂静脉血送验,亦得出同样结果。迄今共作了7例,兹报告如下。
Amniotic fluid embolism is a serious threat to maternal life a crisis, high mortality. For the diagnosis of the disease, has always believed that only pumping right ventricular blood test amniotic fluid components or confirmed by the autopsy. In recent years, it has been reported from amniotic fluid embolism in patients with central venous catheter to obtain the blood, or sputum sputum edema from pulmonary edema, found amniotic fluid components, or survival of patients in the system of pulmonary iodine macromolecules made by spot scanning Confirmed. However, the above inspection methods, not every hospital has such conditions. In our hospital in 1966 on a case of amniotic fluid embolism patients, pumping around the circle of blood for concentrated smear, trying to find fetal squamous cell for pathological basis, and finally get a positive result. After obtaining other hospitals with the clinical symptoms of patients diagnosed as amniotic fluid embolism, pumping arm vein blood test, also obtained the same result. So far a total of seven cases, it is reported as follows.