人流引产术中羊水栓塞的发生原因及临床表现探究.docVIP

人流引产术中羊水栓塞的发生原因及临床表现探究 [摘要]目的：为了进一步探讨孕产妇在人流引产术中羊水栓塞的发生原因及临床表现。方法：回顾性分析2010年5月-2012年6月期间在我院行人流引产术中发生羊水栓塞患者12例病例资料，分析患者发生羊水栓塞的原因，总结羊水栓塞发生时的临床表现以及医护工作者对羊水栓塞并发症孕产妇进行急救的措施，最后统计抢救结果。结果：本组统计的12例人流引产术中发生羊水栓塞患者经抢救后均转危为安。结论：防止引产者羊水进入母血循环，对孕产妇密切观察，及时诊断，尽早处理是挽救人流引产术中羊水栓塞患者的关键。 [关键词]人流引产术，羊水栓塞，临床表现，急救的措施 Exploring causes abortion induction of labor in amniotic fluid embolism and clinical manifestation [Abstract] Objective:exploring discussion of maternal amniotic fluid in the flow induced intraoperative embolization and clinical manifestation. Methods: summizing 2010 May -2012 year in June during the 12 cases of patients with amniotic fluid embolism occurred in the induction of labor in our hospital pedestrian flow, causes of amniotic fluid embolism were analyzed, summarized the amniotic fluid embolism occurs when the clinical manifestations and the medical workers of amniotic fluid embolism complications of maternal emergency measures, the final statistics treatment results. Results: after the rescue are turned in 12 cases of amniotic fluid embolism induced abortion induction in this group of statistics. Conclusion: to prevent the induction of labor in maternal blood, amniotic fluid of pregnant women, close observation, timely diagnosis and early treatment is the key to save the patients, amniotic fluid embolism induced labor operation of stream of people. [keyword] the clinical manifestations of abortion induction of labor, amniotic fluid embolism,, emergency measures 羊水栓塞（Amniotic Fluid Embolism，AFE）是妇产科常见的急症之一，临床定义为大量的羊水参与母体血液循环后继发性引起患者的休克以及肺栓塞现象[1]。该类并发症具有发生迅速、病情凶险和病理生理机制复杂等特点，临床医师一般对它缺乏足够的认识，往往不能及时作出处理，由此导致的出现该类并发症的产妇的母婴死亡率很高。本文回顾性分析2010年5月-2012年6月期间在我院行人流引产术中发生羊水栓塞患者12例病例资料，旨在探讨孕产妇在人流引产术中羊水栓塞的发生原因及临床表现。 1资料与方法 1.1临床资料 本文进行统计的资料对象来自于2010年5月-2012年6月期间在我院行人流引产术中发生羊水栓塞患者12例病例资料，年龄范围为28岁-37岁，平均年龄为30.12岁±12.84岁，怀孕周期范围为14周-16周。统计资料排除标准：排除严重的出血性倾向疾病患者。所有患者按栓塞的不同阶段分为以下三组，一是急性休克期：分娩时或分娩后短时间内突然出现休克，血压骡降甚或消失，同时有寒战、烦躁不安、呕吐等先兆症状，随后出现呛咳、呼吸困难等急症。二是出血期：常表现为持续多量的阴道流血，血液不凝。继而出现全身广泛出血倾向，如鼻翅、