中国实用妇科与产科杂志
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辽宁省产科疾病转化医学研究中心及协同研究网络建设（2016007014）
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摘要：
通过分析羊水栓塞的病理生理学基础，糖皮质激素的药理作用等，探讨羊水栓塞治疗中糖皮质激素的使用问题，阐述了糖皮质激素适用于羊水栓塞的观点和争议。目前的结论是尚无明确证据支持常规使用激素治疗羊水栓塞，但糖皮质激素的应用也具有一定理论基础，因此，目前使用大剂量糖皮质激素尚存在争议。
关键词: 羊水栓塞 , 过敏反应, 糖皮质激素
Abstract:
This paper discussed the use of glucocorticoids in amniotic fluid embolism treatment by analyzing the pathophysiological basis of amniotic fluid embolism and the pharmacological effects of glucocorticoids，and expounded the viewpoints and controversial issues supporting the application of glucocorticoids in amniotic fluid embolism.The conclusion is that there is no evidence to support the conventional use of glucocorticoids in the treatment of amniotic fluid embolism，although there is theoretical basis.It is controversial to use or not use large doses of glucocorticoids.
Key words: amniotic fluid embolism, anaphylactic reaction, glucocorticoid
中图分类号:
R714.46+8
周阳子，吕远. 羊水栓塞的糖皮质激素使用问题[J]. 中国实用妇科与产科杂志, DOI: 10.19538/j.fk2019070110.
ZHOU Yang-zi，LYU Yuan. Glucocorticoid use in amniotic fluid embolism.[J]. Acta Metallurgica Sinica, DOI: 10.19538/j.fk2019070110.
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https://www.zgsyz.com/zgsyfck/CN/Y2019/V35/I7/759
