中国实用妇科与产科杂志

中国实用妇科与产科杂志

• 专题笔谈 • 上一篇    下一篇

剖宫产手术中羊水栓塞的防治

  

  1. 清华大学附属北京清华长庚医院，北京 102218
  • 出版日期:2019-02-02 发布日期:2019-02-01
  • 通讯作者: 黄振宇

Prevention and treatment for amniotic fluid embolism in caesarean section.

  1. Department of Obstetrics and Gynecology，Beijing Tsinghua Changgung Hospital，School of Clinical Medicine，Tsinghua University，Beijing 102218，China
  • Online:2019-02-02 Published:2019-02-01

摘要：

羊水栓塞是产科罕见但却是最为凶险的并发症，不仅是发达国家造成孕产妇死亡的主要原因，也逐步成为我国孕产妇死亡的前三位主要产科因素。文章回顾了近10年剖宫产手术与羊水栓塞的相关文献，对在剖宫产术中羊水栓塞的诊断、预防，尤其是包括产科、麻醉科等科室在内的多学科团队的联合救治进行了总结。

关键词: 羊水栓塞, 剖宫产, 多学科团队

Abstract:

Amniotic fluid embolism（AFE） is rare and the most catastrophic complication of pregnancy，and it is often life-threatening to pregnant women and fetus.AFE is not only a major cause of direct maternal mortality in developed countries，but also one of the top three main factors contributing to maternal mortality in China.Since caesarean section is one of the risk factors for AFE，we retrospectively reviewed articles and documents about AFE related to caesarean section in recent 10 years，and shared the opinions and experience in regard to diagnosis and prevention of AFE in caesarean section，especially the experience of multi-disciplinary team work in the management of women with AFE，including the obsterics and anesthesia departments.

Key words: amniotic fluid embolism, caesarean section, multi-disciplinary team

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