羊水栓塞的早期识别及治疗体会(1)
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[摘要]目的:分析7例羊水栓塞(AFE)出现前驱症状或不典型症状时的临床处理,总结认识及体会。方法:对我院1998~2006年出现的7例不典型AFE或在AFE前驱症状时的临床处理进行回顾性分析。结果:7例患者均抢救成功,均使用了地塞米松,6例使用了肝素25 mg,2例输注冷沉淀,1例输注纤维蛋白原。结论:抢救AFE的关键在于医务人员及早识别症状,及早应用地塞米松及肝素。
[关键词]羊水栓塞;地塞米松;肝素
[中图分类号]R714[文献标识码]C [文章编号]1673-7210(2007)11(c)-008-02
Early discrimination and therapy of amniotic fluid embolism
WU Xiao-rong,LI Qun
(Department of Obstetrics and Gynecology,Central People’s Hospital of Zhanjiang,Zhanjiang 524300,China)
[Abstract]Objective: Toreview clinical procedures ofAFE with precursory signs or antipical symptom. Methods: To retrospectively analysis the clinical procedures of 7 cases of AFE diagnosed in precursory or antipical symptom in our hospital from 1998 to 2006.Results:All 7 cases were rescued successfully,all with Dexamethasone(Dx).6 cases of them were given heparin 25 mg,and 2 cases were given cryoprecipitate,one case was given FBG ......
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