江西医学院学报
江西醫學院學報
강서의학원학보
ACTA ACADEMIAE MEDICINAE JIANGXI
2009年
6期
62-64
,共3页
羊水栓塞%弥漫性血管内凝血%全子宫切除
羊水栓塞%瀰漫性血管內凝血%全子宮切除
양수전새%미만성혈관내응혈%전자궁절제
amniotic fluid embolism%disseminated intravascular coagulation%total hysterectomy
目的 回顾性分析10例羊水栓塞(AFE)致弥漫性血管内凝血(DIC)的临床处理,评价急诊子宫切除的作用与意义.方法 对2002年2月-2009年3月10例AFE并DIC患者,给予大剂量肾上腺皮质激素、应用适量的肝素、恰当时机切除子宫、技术条件具备时加行双侧髂内动脉结扎术.结果 全子宫切除10例,存活者7例;死亡3例,其中2例于术后2 d并多脏器功能衰竭死亡,1例术后45 d并肺栓塞死亡.结论 AFE并DIC患者抢救成功的关键为识别早期症状,阻断羊水栓塞病理生理进展;恰当处理可增加抢救成功率.
目的 迴顧性分析10例羊水栓塞(AFE)緻瀰漫性血管內凝血(DIC)的臨床處理,評價急診子宮切除的作用與意義.方法 對2002年2月-2009年3月10例AFE併DIC患者,給予大劑量腎上腺皮質激素、應用適量的肝素、恰噹時機切除子宮、技術條件具備時加行雙側髂內動脈結扎術.結果 全子宮切除10例,存活者7例;死亡3例,其中2例于術後2 d併多髒器功能衰竭死亡,1例術後45 d併肺栓塞死亡.結論 AFE併DIC患者搶救成功的關鍵為識彆早期癥狀,阻斷羊水栓塞病理生理進展;恰噹處理可增加搶救成功率.
목적 회고성분석10례양수전새(AFE)치미만성혈관내응혈(DIC)적림상처리,평개급진자궁절제적작용여의의.방법 대2002년2월-2009년3월10례AFE병DIC환자,급여대제량신상선피질격소、응용괄량적간소、흡당시궤절제자궁、기술조건구비시가행쌍측가내동맥결찰술.결과 전자궁절제10례,존활자7례;사망3례,기중2례우술후2 d병다장기공능쇠갈사망,1례술후45 d병폐전새사망.결론 AFE병DIC환자창구성공적관건위식별조기증상,조단양수전새병리생리진전;흡당처리가증가창구성공솔.
Objective To analyze clinical management of amniotic fluid embolism (AFE) with disseminated intravascular coagulation(DIC);to summarize and evaluate effect and significance of emergency hysterectomies.Methods Ten cases of AFE and DIC from February 2002 to March 2009, with larger dose of corticosteroid hormones,heparin application,total hysterectomy in time and hypogastric artery ligation if necessary.Results Ten cases received hysterectomy,7 case survived,3 cases died. One case died of pulmonary embolism in 45 days after operation and two cases died of MDOS in 2 days after operation.Conclusion The critical treatment of AFE and DIC consists of:identification of the precursory signs, and interrupt pathophysiology of AFE.Proper treatment could increase the successful rescue rate.
