中华产科急救电子杂志
中華產科急救電子雜誌
중화산과급구전자잡지
Chinese Journal of Obstetric Emergency
2015年
2期
71-76
,共6页
栓塞,羊水%高危因素%诊断%疾病管理
栓塞,羊水%高危因素%診斷%疾病管理
전새,양수%고위인소%진단%질병관리
Embolism,amniotic fluid%Risk Factors%Diagnosis%Disease management
羊水栓塞是严重而罕见的产科并发症，其发病机制至今尚未阐明。一直以来，诊断羊水栓塞的金标准是在母体中心静脉血或肺动脉血管床组织切片中找到胎儿的有形成分，但目前的研究已使羊水栓塞的诊断受到质疑，母血中找到胎儿有形成分不再是诊断的必须依据。对于羊水栓塞的诊断，国内强调的是发病机制和病理过程，国外强调的是临床表现。目前认为羊水栓塞的发生无法通过对高危因素的识别和干预进行预测和预防。发生羊水栓塞后的抢救重点主要是支持和对症治疗。
羊水栓塞是嚴重而罕見的產科併髮癥，其髮病機製至今尚未闡明。一直以來，診斷羊水栓塞的金標準是在母體中心靜脈血或肺動脈血管床組織切片中找到胎兒的有形成分，但目前的研究已使羊水栓塞的診斷受到質疑，母血中找到胎兒有形成分不再是診斷的必鬚依據。對于羊水栓塞的診斷，國內彊調的是髮病機製和病理過程，國外彊調的是臨床錶現。目前認為羊水栓塞的髮生無法通過對高危因素的識彆和榦預進行預測和預防。髮生羊水栓塞後的搶救重點主要是支持和對癥治療。
양수전새시엄중이한견적산과병발증，기발병궤제지금상미천명。일직이래，진단양수전새적금표준시재모체중심정맥혈혹폐동맥혈관상조직절편중조도태인적유형성분，단목전적연구이사양수전새적진단수도질의，모혈중조도태인유형성분불재시진단적필수의거。대우양수전새적진단，국내강조적시발병궤제화병리과정，국외강조적시림상표현。목전인위양수전새적발생무법통과대고위인소적식별화간예진행예측화예방。발생양수전새후적창구중점주요시지지화대증치료。
Amniotic fluid embolism ( AFE) is a rare but severe complication of pregnancy , and the pathogenesis of amniotic fluid embolism is still poorly understood .The diagnostic criteria of AFE is that fetal tissue was found in the mother′s central vein or pulmonary artery .However , as advances in research , the diagnosis of AFE has been changed .In China, the pathogenesis and pathological process of AFE is emphasized.In the other counties, the clinical manifestation of AFE is emphasized .At present, it is believed that no predicted or preventive measures are possible for AFE through identifying the risk factors . The key point of treating AFE is primarily the supportive and symptomatic treatment .
