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羊水栓塞症是一种严重的产科并发症,起病急,病情险,死亡率高。据统计发病率为1/8000～1/80000妊娠,一旦发生有25～50％在1小时内死亡。总死亡率>86％。本病病例少,且病情经过急,往往不能充分检查出来而病人即已死亡。其主要的病理表现为(1)肺动脉高压及肺水肿,急性右心衰竭及循环衰竭。(2)过敏性休克。(3)全身低氧血症。(4)弥散性血管内凝血(DIC)。一、诊断 (一)临床表现大致可分为三个阶段:
Amniotic fluid embolism is a serious obstetric complications, acute onset, risk of illness, high mortality. According to the statistical incidence of 1/8000 ~ 1 / 80,000 pregnancy, in the event of 25 to 50% within 1 hour of death. Total mortality> 86%. Less cases of this disease, and the condition after the emergency, often can not fully check out and the patient has died. The main pathological manifestations of (1) pulmonary hypertension and pulmonary edema, acute right heart failure and circulatory failure. (2) anaphylactic shock. (3) systemic hypoxemia. (4) disseminated intravascular coagulation (DIC). First, the diagnosis (a) clinical manifestations can be broadly divided into three stages: