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我院自1995年3月至1998年3月,妊娠足月分娩共1303例,其中3例在分娩过程中(包括剖宫产)并发羊水栓塞,发生率为0.23%,现将3例病案分析报道如下。例1,28岁。入院诊断:妊娠40周,孕1产0,右枕后位,胎膜早破。因胎儿宫内窘迫,羊水Ⅲ°粪染,枕后位,行产钳助产,胎盘自娩,于胎盘娩出后5分钟,病人突然意识丧失,面色苍白,呼吸困难,脉搏细数,血压测不到,立即按羊水栓塞抢救,吸氧,阿托品lmg、地塞米松20mg静推,低分子右旋糖酐500ml静点,病人出现心律不齐,给予西地兰0.4mg加25%葡萄糖20ml
Our hospital from March 1995 to March 1998, full-term pregnancy delivery of a total of 1303 cases, of which 3 cases during delivery (including cesarean section) with amniotic fluid embolism, the incidence was 0.23%, now 3 cases of case analysis Reported as follows. Example 1,28 years old. Admission diagnosis: 40 weeks of pregnancy, pregnancy 1 0, right posterior position, premature rupture of membranes. Due to fetal distress, amniotic fluid Ⅲ ° stool infection, occiput posterior position, forceps midwifery, placenta from childbirth, 5 minutes after the placenta was delivered, the patient suddenly lost consciousness, pale, dyspnea, pulse breakdown, blood pressure test To, immediately by amniotic fluid embolism rescue, oxygen, atropine lmg, dexamethasone 20mg static push, low molecular weight dextran 500ml static point, the patient arrhythmia, to give cedilanchoside 0.4mg plus 25% glucose 20ml