On the diagnosis and treatment of amniotic fluid embolism.docVIP

 PAGE \* MERGEFORMAT 5 On the diagnosis and treatment of amniotic fluid embolism [Abstract] Objective To investigate the diagnosis and treatment of amniotic fluid embolism. Methods to correct breathing difficulties, the lifting of pulmonary hypertension, myocardial protection and the prevention of heart failure, to prevent coagulation disorder, anti-shock therapy, renal failure, prevention, timely and correct use of antibiotics to prevent infection, treatment of obstetric problems. Conclusion Although the low incidence of amniotic fluid embolism, but dangerous conditions, high mortality, maternal and child safety hazard, it should pay attention to incentives and prodromal symptoms of amniotic fluid embolism, amniotic fluid embolism gain valuable time to reduce amniotic fluid embolism died rate. [Keywords:] diagnosis and treatment of amniotic fluid embolism Amniotic fluid embolism refers to the delivery process, after the amniotic fluid into the maternal circulation due to pulmonary embolism, shock, disseminated intravascular coagulation (DIC), which is a rare obstetric complication of the disease potential danger, the mortality rate as high as 85% of maternal one of the main causes of death. 1 Clinical data 1.1 General information on our hospital since October 2006 ~ October 2009 delivery were treated 16 patients with amniotic fluid embolism occurred in patients aged 26 to 38 years, mean age 32 years. Primiparous 9 cases, 7 cases by mothers, gestational age 39 ~ 42 weeks. After the basic diagnosis and treatment of patients recovered, although the low incidence of amniotic fluid embolism, but dangerous conditions, high mortality, maternal and child safety hazard, it should pay attention to incentives and prodromal symptoms of amniotic fluid embolism, gain valuable time for the amniotic fluid embolism reduce the mortality of amniotic fluid embolism, clinical treatment and analysis now follows. 1.2 Clinical manifestations 1.2.1