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我院自1977年6月以来在16,551例中期妊娠引产中并发羊水栓塞10例,发生率为0.6‰,本文结合文献对早期诊断及防治体会进行讨论如下。临床资料本组10例,年龄:27~41岁。孕次:2~3孕者8例,5~6孕者2例。孕周:16~18周者7例,25~30周者3例。引产方法:探条加钳刮1例,利凡诺羊膜腔内注射者7例,腔外注射1例,芫花羊膜腔内注射者1例。症状出现时间:羊膜腔内注药后半分钟内发生者2例(注药前抽吸时羊水均呈淡
In our hospital since June 1977, 16,551 cases of midterm pregnancy induced labor with amniotic fluid embolism in 10 cases, the incidence was 0.6 ‰, this article with the literature on the early diagnosis and prevention and treatment of the experience are discussed below. Clinical data The group of 10 patients, age: 27 to 41 years old. Pregnancy time: 2 to 3 pregnant in 8 cases, 5 to 6 pregnant in 2 cases. Gestational weeks: 16 to 18 weeks in 7 cases, 25 to 30 weeks in 3 cases. Methods of induction of labor: the probe plus a clamp curettage in 1 case, levofino injection of amniotic cavity in 7 cases, 1 case of extracavitary injection, 1 case of amniotic fluid in the amniotic cavity. Symptoms appear time: within half a minute after amniotic injection occurred in 2 cases (before injection of amniotic fluid were light during aspiration