羊水栓塞的诊断与处理

• 作 者: 张振钩
• 机 构: 上海医科大学附属妇产科医院,
• 出 处: 上海医学
• 发表日期: 1987年07期
• 关键词: 羊水栓塞 羊水 产科工作者 产妇 产科 尸检 母体 内容物 并发症 中心静脉压

羊水栓塞(Amniotic fluid embolism,简称AFE)是产科领域中的一种较为少见而凶险的并发症,母体死亡率可达85％或更高。Meyer于1926年首先在巴西报道了一例青年产妇在分娩后突然死亡,尸检发现血管内有羊水内容物。尽管产科工作者近年来已提高了对本病的认识,但一旦发生此症后,仍常致母婴双亡,且其发病率高低不一,

Amniotic fluid embolism (AFE) is a relatively rare and dangerous complication in the field of obstetrics, with a maternal mortality rate of 85% or more. Meyer first reported in Brazil in 1926 that a young mothers died suddenly after childbirth. An autopsy revealed amniotic fluid contents in blood vessels. Although obstetricians have raised their awareness of the disease in recent years, once the disease occurs, they often cause both mother and child to die and their morbidity varies.