羊水栓塞2011八年制.pptVIP

Zhu Jieping Shanghai Jiaotong University Affiliated Sixth Peoples Hospital, Dept of Obs Gyn The entry of amniotic fluid into the maternal circulation leads to sequelae of clinical events, eg, sudden onset of severe dyspnea(呼吸困难), cyanosis(紫绀) and disseminated intravascular coagulation (DIC，弥散性血管内凝血). Occurs during labor, delivery or early puerperium. A rare but FATAL obstetric emergency, leads to severe maternal morbidity and mortality. Incidence: 1: 8000 to 1: 80,000 deliveries 70% : occurred during labor 19% : occurred during caesarean delivery 11% : occurred after vaginal deliv