摘要
羊水栓塞是产科中的一种有极高致命危险的急症,是因羊水进入母体血液循环而导致的病理反应,目前已成为导致孕产妇死亡的主要原因之一,该病起病缓慢或急骤,具有发病难以预测、病情恶化快等特点。羊水栓塞临床症状比较复杂,会累及全身器官,引发多种并发症,总体表现为前驱症状、心肺功能异常、凝血功能异常等,如处理不及时,可引起全身器质性损害甚至多器官功能衰竭,危及母亲与胎儿生命安全。羊水栓塞的治疗目标包括维持生命体征平稳、保护脏器功能及预防并发症等,但该病的具体病因不明,而不同的病因其治疗方法也有所不同,所以,明确诊断是羊水栓塞孕产妇获取针对性、有效性治疗的前提。目前临床仍缺乏快速、特异性的羊水栓塞诊断方法,主要根据孕产妇症状体征表现进行排除法诊断,早期识别及快速有效救治对降低不良结局发生率有着非常重要的意义。
Amniotic fluid embolism is an emergency with a very high fatal risk in obstetrics.It is a pathological reaction caused by amniotic fluid entering the maternal blood circulation.It has become one of the main causes of maternal death.The onset of this disease is slow or rapid,with the characteristics of unpredictable onset and rapid deterioration of the disease.The clinical symptoms of amniotic fluid embolism are more complicated,which can affect the whole body organs and cause a variety of complications.The overall performance is prodromal symptoms,abnormal cardiopulmonary function,abnormal blood coagulation and so on.If it is not handled in time,it can cause systemic organic damage and even multiple organ failure,endangering the lives of mothers and fetuses.The treatment goals of amniotic fluid embolism include maintaining vital signs,protecting organ function,and preventing complications.However,the specific cause of the disease is unknown,and different causes of the disease have different treatment methods.Therefore,a clear diagnosis is a prerequisite for obtaining targeted and effective treatment for pregnant women with amniotic fluid embolism.At present,there is still a lack of rapid and specific diagnostic methods for amniotic fluid embolism.The diagnosis is mainly based on the symptoms and signs of pregnant women.Early identification and rapid and effective treatment are of great significance for reducing the incidence of adverse outcomes.
作者
何秋莹
HE Qiuying(Department of Obstetrics,Baise Maternal and Child Health Hospital,Baise,Guangxi Zhuang Autonomous Region,533000 China)
出处
《系统医学》
2021年第21期190-194,共5页
Systems Medicine
关键词
羊水栓塞
早期识别
救治
Amniotic fluid embolism
Early recognition
Treatment
