CAJ | 학술논문

目的：分析探讨降低羊水栓塞（AFE）发生率的措施，以提高抢救成功率。方法对2007年2月～2012年2月期间在我院治疗的15例羊水栓塞患者的临床资料。结果15例患者中初产妇11例，经产妇4例。急性羊水栓塞12例，迟发型3例。孕28周前发生1例，孕晚期14例。其主要诱因为使用缩宫素或因宫缩强自然破膜者占8例，合并妊娠高血压综合征者4例，高龄经产妇3例。结论早期诊断，及早治疗，可提高抢救的成功率；加强产时保健、保护、支持、促进自然分娩，减少不必要的医疗干预，是预防AFE发生的有效措施。
목적：분석탐토강저양수전새（AFE）발생솔적조시，이제고창구성공솔。방법대2007년2월～2012년2월기간재아원치료적15례양수전새환자적림상자료。결과15례환자중초산부11례，경산부4례。급성양수전새12례，지발형3례。잉28주전발생1례，잉만기14례。기주요유인위사용축궁소혹인궁축강자연파막자점8례，합병임신고혈압종합정자4례，고령경산부3례。결론조기진단，급조치료，가제고창구적성공솔；가강산시보건、보호、지지、촉진자연분면，감소불필요적의료간예，시예방AFE발생적유효조시。
Objective To analyze the clinical course of amniotic lfuid embolism (AFE) and identify the high risk factors.Methods A retrosPective analysis of clinical data was conducted in 15 Patients with amniotic lfuid embolism who were admitted in our hosPital from February 2007 to February 2012.Results Of 15 cases,11 cases were Primigravida and 4 cases were multiPara. 12 cases were with amniotic lfuid embolism and 3 cases with forme tardive. 1 case occurred before 28 gestational weeks. 7 cases suffered from AFE during labour, 5 cases after delivery, and 2 cases before labour. All cases Presented resPiratory distress, cyanosis, chest discomfort and/or shock, cardioPulmonary collaPse. 6 cases had PostPartum hemorrhage and/or laboratory evidence of DIC. The PredisPosing factors for AFE included strong uterine contractions due to oxytocin or PEG augmented 8 cases, Pregnancy induced hyPertension 4 cases and multigravida and/or elder gravida 3 cases.Conclusion ForePart diagnoses and early treatmentas can enhance the Possibility of successful salvage,there are some useful methods to avoid the aPPearance of AFE, including strengthening health care and Protection during daring labor, encouraging the Promotion of natural delivery, and diminishing unnecessary iatro-intervention.