中国实用妇科与产科杂志
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基金资助:
国家自然科学基金重点项目（81830041）；国家自然科学基金面上项目（81771611）；深圳市科创委学科布局项目（JCYJ20170412140326739）
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摘要：
羊水栓塞救治过程中，实施有效的液体复苏及管理，不仅为后续的救治措施争取时间，同时也可以为纠正失血及凝血功能障碍奠定基础，避免由于容量状态失常导致器官损伤。羊水栓塞液体管理包括右心衰竭阶段掌控容量负荷避免心衰肺水肿加重并维持血液动力学稳定、循环支持阶段的液体复苏和DIC阶段限制性液体复苏。
关键词: 羊水栓塞, 容量管理, 液体管理, 限制性液体复苏
Abstract:
The effective fluid resuscitation and management can not only save time for subsequent treatment measures but also lay the foundation for correcting blood loss and coagulation dysfunction，which helps avoid organ damage due to volume disorder during the treatment of amniotic fluid embolism（AFE）.Amniotic fluid embolism management includes three parts：the phase of controlling volume load in right heart failure to avoid aggravation of pulmonary edema，maintain hemodynamic stability，the fluid resuscitation in cycle support phasea and restrictive fluid resuscitation in DIC phase.
Key words: amniotic fluid embolism, volume management, fluid management, restrictive fluid resuscitation
中图分类号:
R714.46+8
李彬，牛建民. 羊水栓塞的液体管理[J]. 中国实用妇科与产科杂志, DOI: 10.19538/j.fk2019070107.
LI Bin，NIU Jian-min. Fluid management of amniotic fluid embolism.[J]. Acta Metallurgica Sinica, DOI: 10.19538/j.fk2019070107.
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https://www.zgsyz.com/zgsyfck/CN/Y2019/V35/I7/749
