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文献上最早报告羊水栓塞是在1926年,一直认为本症是引起母体死亡的重要原因。主要临床表现是在分娩期或产后早期出现呼吸困难、心动过速、低氧血症和凝血异常。羊水可能经子宫或宫颈内小静脉裂伤进入母体循环。羊水栓塞引起心肺功能变化的病因尚未完全阐明,由于羊膜粒状物质和/或血管活性介质释放而导致急性肺动脉高压可能是起作用的因素。本文报导作者根据Masson等的细胞学方法(1979)略加修改,用来快速诊断羊水栓塞,并附病案报告一例。细胞学诊断:用肝素化注射器抽取15ml肺动脉血,2,000转/分离心10分钟,弃去上清液。沉渣用
The earliest reported amniotic embolism in the literature in 1926, has been that the disease is an important cause of maternal death. The main clinical manifestations are dyspnea, tachycardia, hypoxemia and coagulation abnormalities during childbirth or early postpartum. Amniotic fluid may enter the maternal circulation through the uterine or intracavainal venules. The etiology of changes in cardiopulmonary function due to amniotic fluid embolism has not yet been fully elucidated, and acute pulmonary hypertension may be a contributing factor due to the release of amniotic particulate material and / or vasoactive mediators. This article reports the author according to Masson et al. (1979) slightly modified method for the rapid diagnosis of amniotic fluid embolism, and attach a case report. Cytology: 15 ml of pulmonary artery blood was drawn using a heparinized syringe and centrifuged at 2,000 rpm for 10 minutes. The supernatant was discarded. Sediment use