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目的:探讨在羊水栓塞抢救过程中,肝素用法,用量,用药时机,治疗效果。方法:选择我科2002年10月~2012年10月收住的8例羊水栓塞病人作为研究对象,分析抢救过程中肝素的用法,用量,用药时机,治疗效果。结果:8例羊水栓塞中,除1例由于病情危急,很快死亡,无法评估疗效外,其余7例均抢救成功,抢救成功率87%,取得较为理想的效果。结论:羊水栓塞发生时,应迅速识别进行抢救,准确及时应用肝素,密切监护病情,用药措施得当,会降低死亡率,取得较理想效果。
Objective: To investigate the treatment of amniotic fluid embolism, heparin usage, dosage, timing of medication, the therapeutic effect. Methods: Eight patients with amniotic fluid embolism who were admitted to our department from October 2002 to October 2012 were selected as study objects. The usage, dosage, timing and therapeutic effect of heparin during the rescue were analyzed. Results: Among the 8 cases of amniotic fluid embolism, except for 1 case died due to critical condition, it was impossible to evaluate the curative effect. The other 7 cases were successfully rescued, and the success rate of rescue was 87%, which achieved satisfactory results. Conclusion: Amniotic fluid embolism should be promptly identified for rescue, accurate and timely application of heparin, close monitoring of the disease, medication properly, will reduce mortality and achieve better results.