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羊水栓塞(AFE)是产科严重的并发症,多发生于胎膜破裂、宫缩强、产程短以及高龄初产、多产、有产前出血或手术产等情况,产妇死亡率高达70%~80%[1],其主要死因是休克、弥散性血管内凝血和急性肾功能衰竭等。本文对羊水栓塞的病因、临床表现及诊治进展进行综述。AFE的高危因素:①急产,宫缩过强或强直性宫缩。②胎膜早破或人工破膜。
Amniotic fluid embolism (AFE) is a serious obstetric complications, occurred in the rupture of the membranes, contractions, short birth and early primiparous, prolific, with prenatal bleeding or surgical production, maternal mortality rate as high as 70% 80% [1], the main cause of death is shock, disseminated intravascular coagulation and acute renal failure. This article summarizes the etiology, clinical manifestations and diagnosis and treatment of amniotic fluid embolism. AFE risk factors: ① urgency, contractions or tonic contractions too strong. ② premature rupture of membranes or artificial rupture of membranes.