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

羊水栓塞临床表现及早期识别

  

  1. 上海交通大学医学院附属仁济医院妇产科，上海200127
  • 出版日期:2019-07-02 发布日期:2019-07-05
  • 通讯作者: 林建华

Clinical manifestation and early identification of amniotic fluid embolism.

  1. Department of Obstetrics and Gynecology，Affiliated Renji Hospital，Shanghai Jiao Tong University School of Medicine，Shanghai 200127，China
  • Online:2019-07-02 Published:2019-07-05

摘要：

羊水栓塞是一种产科特有的罕见且极为凶险的并发症。临床表现可以分为心肺功能衰竭型和出血凝血功能异常型。起病可以是凶猛型或者缓慢型。主要临床表现包括前驱症状、心肺功能衰竭、出凝血障碍、全身脏器损害和胎儿窘迫等。只有早期识别，才能进行早期干预，为治疗争取时间，降低羊水栓塞病死率。

关键词: 羊水栓塞, 临床表现, 早期识别

Abstract:

Amniotic fluid embolism（AFE）is a rare and extremely dangerous condition in obstetrics.Clinical manifestations can be divided into cardiopulmonary failure and coagulation dysfunction.The onset can be acute or slow.The main clinical manifestations include prodrome，cardiopulmonary failure，bleeding and coagulation disorder，systemic organ damage，and fetal distress etc.The earlier we identify the symptom，the earlier we can intervene and perform the treatment in order to reduce the mortality of AFE.

Key words: amniotic fluid embolism, clinical manifestation, early identification

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