中国实用妇科与产科杂志

中国实用妇科与产科杂志

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羊水栓塞的团队流程化抢救

  

  1. 复旦大学附属妇产科医院产科，上海 200090
  • 出版日期:2019-07-02 发布日期:2019-07-05
  • 通讯作者: 李笑天
  • 基金资助:

    上海市科委民生科技支撑计划专项临床医学科技创新项目（17411950501）；上海市重中之重临床医学中心（上海市女性生殖疾病临床医学中心）（2017ZZ01016）；国家自然科学基金（81871183，81701470）

Team process rescue in amniotic fluid embolism.

  1. Department of Obstetrics，Obstetrics and Gynecology Hospital of Fudan University，Shanghai 200090，China
  • Online:2019-07-02 Published:2019-07-05

摘要：

羊水栓塞是危及母胎生命的罕见并发症，早期识别并尽快启动抢救团队，采用正确的抢救流程，可以改善母胎预后。医护团队应该规范产科干预，降低羊水栓塞风险。医疗机构应该制定羊水栓塞的标准化抢救流程，实施规范救治。组建快速反应团队，早期识别并实施多学科救治是抢救成功的关键。对抢救团队进行周期性培训和演练，通过点评和反馈可以提高团队紧急状态下的沟通能力和综合救治能力。

关键词: 羊水栓塞, 快速反应团队, 流程, 模拟演练

Abstract:

Amniotic fluid embolism（AFE）is a rare complication that threatens the maternal and fetal life.Early identification and initiation of the rapid response team（RRT）and the correct rescue protocol can improve the prognosis.Unnecessary obstetrical interventions should be avoided to reduce the risk of AFE.Medical center should make standardized rescue protocol for AFE and implement standardized treatment.Establishing a RRT to perform early identification and implementation of multidisciplinary treatment is the key to successful rescue.Periodic training and simulations can improve communication skills and comprehensive treatment capabilities in a team emergency.

Key words: amniotic fluid embolism, rapid response team, protocol, simulation

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