On the early diagnosis of amniotic fluid embolism and postpartum hemorrhage and the identification of.docVIP

 PAGE \* MERGEFORMAT 13 On the early diagnosis of amniotic fluid embolism and postpartum hemorrhage and the identification of [Abstract] Objective To investigate the identification of amniotic fluid embolism and postpartum hemorrhage, the main points of early diagnosis of amniotic fluid embolism, as soon as possible rescue measures. Amniotic fluid embolism and postpartum hemorrhage due to bleeding in the form of both the performance as a starter, if not as soon as the diagnosis was made, but just blindly according to the treatment of postpartum hemorrhage to strengthen contractions, but will speed up the amniotic fluid into the uterus blood vessels, increase the degree of amniotic fluid embolism, leading to more serious consequences. Methods 20 cases of amniotic fluid embolism in 21 patients predisposing factors, clinical manifestations and rescue after Retrospective analysis of such data. Results The patients successfully rescued in 15 patients, 6 patients died. Conclusions of amniotic fluid embolism and postpartum hemorrhage in early differential diagnosis, the identification of key points is the DIC appear sooner or later, timely symptomatic treatment is reduce the incidence of amniotic fluid embolism, and maternal life to save the key. [Keywords:] differential points of postpartum hemorrhage, amniotic fluid embolism DIC Amniotic fluid embolism (amniotic fluid embolism, AFE is the amniotic fluid during delivery into the maternal blood circulation caused by pulmonary embolism, leading to bleeding, shock and intravascular coagulation occurs and a series of pathological changes, is a rare and dangerous obstetric complication . inconsistent with the incidence reported in the literature, ~ 1:80000 to 1:5000, but the fatality rate as high as 50% to 86%. According to the National Maternal Mortality Survey Collaborative Group reported that from 1984 to 1988, 21 provinces, municipalities and autonomous regions pregnancy A total of 7485 cases of maternal d