nyenaceyg
Dołączył: 13 Gru 2010
Posty: 522
Przeczytał: 0 tematów
Ostrzeżeń: 0/5
Skąd: England
|
 Wysłany: Sob 22:32, 19 Mar 2011 Temat postu: Amniotic fluid embolism cases of obstetric clinics |
 |
|
Amniotic fluid embolism cases of obstetric clinics of concurrent DIC12
, Positive pressure oxygen to relieve pulmonary hypertension, anti-allergic,[link widoczny dla zalogowanych], anti-shock protection of renal function. Early use of heparin at the same time, lose new blood. Early treatment of pregnant uterus. It is to remove the cause, preventing disease progression is all about. This 5 deaths, 6 cases were cured, 1 case complicated with Sheehan's syndrome. 7 cases of survivors, 6 patients treated by surgery, 1 case of vaginal delivery. 2 2.1 The early diagnosis and treatment experience: amniotic fluid embolism incidence of acute, rapid progression, waiting for laboratory results confirmed the need for some time, is bound to affect the rescue, The diagnosis of amniotic fluid embolism must first understand the typical clinical presentation, after the laboratory or other test results improved. Early diagnosis is the key to successful treatment, recognizing the early symptoms of amniotic fluid embolism is essential. Where, after the rupture, the baby is delivered before the sudden breath of maternal, shortness of breath, cyanosis, chills, disturbance of consciousness should be taken into amniotic fluid embolism, the bedside monitor,[link widoczny dla zalogowanych], while doing rescue for laboratory examination and,[link widoczny dla zalogowanych], once diagnosed, immediate treatment. Court 1989-1992, 4 cases of amniotic fluid embolism occurs when production, except for 1 case of sudden death, 3 patients had breath after rupture of membranes, shortness of breath, irritability and other early symptoms, mistakenly believe that maternal stress, did not attract attention, such as postpartum hemorrhage non-condensable,[link widoczny dla zalogowanych], before taking into account the amniotic fluid embolism, acute and doing laboratory tests, the results confirmed that the rescue, too late, and 2 died, 1 received subtotal hysterectomy to save lives, but complicated by the Sheehan's syndrome, be learned. 1993-1999, amniotic fluid embolism occurred in 8 cases, all the early diagnosis, except 2 cases of sudden death, the 6 patients successfully rescued, of which 1 case, cervix large 3cm natural rupture of membranes, suddenly shivering breath, rapid heartbeat, consider the amniotic fluid embolism, experiment immediately check blood, blood is not frozen in the needle tube, that is in the delivery room for cesarean delivery, maternal and child life saved. 2.2 effective rescue fulminant cardiopulmonary resuscitation is a fundamental amniotic fluid embolism,[link widoczny dla zalogowanych], 4 cases of fulminant this article, 3 patients died, 1 patient successfully rescued, the incidence of cesarean section patients, in a sudden ventilation after 3min fetus, along with cardiac arrest, immediate endotracheal intubation, artificial respiration, chest compressions while 10min, heart rate gradually returned to normal, heart rate 9o times / min, blood pressure 16/10kPa, 30min after the incision bleeding, vaginal bleeding, blood pressure 8 / 0kPa, immediate blood transfusion, with heparin at the same time, subtotal hysterectomy. . 2.3 The early use of heparin and lose new blood, amniotic fluid embolism can improve the survival rate of patients. This use of heparin in 5 cases all rescued, with heparin at the same time, to lose new blood, heparin dosage is 50mg the first normal saline 100mL, lh drops finished, repeat the clinical drug testing by the tube method, the clotting time was maintained at about 20min, 30ram excessive. 2.4 The early treatment of uterine pregnancy, intrapartum and postnatal bureaucratic residue in the amniotic fluid material in the uterine sinuses, and continuously into the maternal circulation, promote the occurrence and development of DIC, early treatment can prevent disease progression of uterine pregnancy. 1 onset of labor to cesarean section, 2 the incidence of labor to vaginal delivery, postpartum onset, after active treatment fails, to decisively subtotal hysterectomy, this survival in 7 cases, surgery in 6 cases, 2 cases of cesarean section, 4 subtotal uterine, 4 of which were carried out in the delivery room; only 1 vaginal delivery. Received 2OO2-06-27 (edit LEGEND) rivanol trimester abortion with misoprostol for clinical observation of floral Xie Lihua Chun Medical School Affiliated Hospital of Shaoyang City, Hunan Province, 4220001999 on January 1 December 2001 in our hospital will rivanol misoprostol alone rivanol and induction methods were used for two 1328 weeks of healthy pregnant women, clinical observation, and achieved good results. Are as follows. 1 Data and methods 1.1 Source 9o 13-28 weeks of gestation to terminate pregnancy in healthy women without reproductive tract abnormalities, no acute genital tract inflammation, no liver, kidney disease, and the use of prostaglandin agents contraindications, preoperative routine Check the blood, urine out of the clotting time, liver and kidney function and vaginal cleanliness. 1.2 Methods 9o were randomly divided into 2 groups, experimental group: 46 cases, I Rivanol 100mg intra-amniotic injection, 6h after the posterior fornix misoprostol 100pg (front air bladder medication after treatment supine 30m / n), the control group: 44 cases of amniotic Rivanol 100mg injection. 1,3-effective means to determine treatment effects within 72h after the fetal placenta. Failure: that is not placenta was delivered within 72h. 1.4 OUTCOME MEASURES check the two cases before and after treatment of cervical score were observed and recorded the time and postpartum hemorrhage induction of drug side effects and so on. 1.5 count data using statistical methods testing, measurement data with the t test. 2 Results
Post został pochwalony 0 razy
|
|
