羊水栓塞的多学科联合救治
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摘要
羊水栓塞是妊娠女性发生的一种罕见但极其凶险的并发症,其致病的病理生理学本质为母体的一种免疫过程,这种瀑布级的内源性免疫反应可迅速引起母体全身多器官功能障碍,所以对此种疾病的治疗需要一个多学科密切协作的医疗救治团队,以求确保我国母胎安全。
Amniotic fluid embolism is a rare but extremely dangerous complication in pregnant women.Its pathogenic pathophysiological nature is an immune process of the mother.This cascade endogenous immune response can quickly cause multiple organ dysfunction of the mother.Therefore,the treatment for this disease requires a multi-disciplinary and close collaborative medical rescue team in order to ensure the maternal and fetal safety in China.
Amniotic fluid embolism is a rare but extremely dangerous complication in pregnant women.Its pathogenic pathophysiological nature is an immune process of the mother.This cascade endogenous immune response can quickly cause multiple organ dysfunction of the mother.Therefore,the treatment for this disease requires a multi-disciplinary and close collaborative medical rescue team in order to ensure the maternal and fetal safety in China.
引文
[1] Patel D,Osakwe O,Ghosh S. An example of prompt and appropriate multidisciplinary management leading to an exceptionally good outcome:a case complicated by amniotic fluid embolism[J].BMJ Case Rep,2015,24,doi:10.1136/bcr-2015-211462.
[2]杨孜.内科疾病产科识别和风险防范[J].中国实用妇科与产科杂志,2017,33(3):241-244.
[3] Uszynski M.Amniotic fluid embolism:the complication of known pathomechnism but without pathogenetic therapy[J].Thromb Haemost,2009,101(5):795-796.
[4] Kayem G1,Kurinczuk JJ,Alfirevic Z,et al.Uterine compression sutures for the management of severe postpartum hemorrhage[J].Obstet Gynecol,2011,17(1):14-20.
[5]苏敏,杨娟娟,张玉泉.羊水栓塞与产科血栓栓塞性肺栓塞诊治的异同点.中国实用妇科与产科杂志,2018,34(7):721-725.
[6] Shamshirsaz AA,Clark SL.Amniotic fluid embolism[J].Obstet Gynecol Clin North Am,2016,43(4):779-790.
[7] Steiner PE,Lushbaugh CC. Landmark article,Oct.1941:maternal pulmonary embolism by amniotic fluid as a cause of obstetric shock and unexpected deaths in obstetrics[J].JAMA,1986,255,2187-2203.
[8] Clark SL,Hankins GD,Dudley DA,et al.Amniotic fluid embolism:analysis of the national registry[J].Am J Obstet Gynecol,1995,172(4 Pt 1):1158-1167;discussion 1167-1169.
[9] Clark SL.Amniotic fluid embolism[J].Obstet Gynecol,2014,123(2 Pt 1):337-348.
[10] Stawicki SP,Papadimos TJ.Challenges in managing amniotic fluid embolism:an up-to-date perspective on diagnostic testing with focus on novel biomarkers and avenues for future research[J].Curr Pharm Biotechnol,2014,14(14):1168-1178.
[11] Guntupalli KK,Hall N,Karnad DR,et al.Critical illness in pregnancy:part I:an approach to a pregnant patient in the ICU and common obstetric disorders[J].Chest,2015,148(4):1093-1104.
[12]陈敦金,陈艳红.羊水栓塞团队处置与抗凝治疗—目前的观点[J].中国实用妇科与产科杂志,2017,33(7):691-694.
[2]杨孜.内科疾病产科识别和风险防范[J].中国实用妇科与产科杂志,2017,33(3):241-244.
[3] Uszynski M.Amniotic fluid embolism:the complication of known pathomechnism but without pathogenetic therapy[J].Thromb Haemost,2009,101(5):795-796.
[4] Kayem G1,Kurinczuk JJ,Alfirevic Z,et al.Uterine compression sutures for the management of severe postpartum hemorrhage[J].Obstet Gynecol,2011,17(1):14-20.
[5]苏敏,杨娟娟,张玉泉.羊水栓塞与产科血栓栓塞性肺栓塞诊治的异同点.中国实用妇科与产科杂志,2018,34(7):721-725.
[6] Shamshirsaz AA,Clark SL.Amniotic fluid embolism[J].Obstet Gynecol Clin North Am,2016,43(4):779-790.
[7] Steiner PE,Lushbaugh CC. Landmark article,Oct.1941:maternal pulmonary embolism by amniotic fluid as a cause of obstetric shock and unexpected deaths in obstetrics[J].JAMA,1986,255,2187-2203.
[8] Clark SL,Hankins GD,Dudley DA,et al.Amniotic fluid embolism:analysis of the national registry[J].Am J Obstet Gynecol,1995,172(4 Pt 1):1158-1167;discussion 1167-1169.
[9] Clark SL.Amniotic fluid embolism[J].Obstet Gynecol,2014,123(2 Pt 1):337-348.
[10] Stawicki SP,Papadimos TJ.Challenges in managing amniotic fluid embolism:an up-to-date perspective on diagnostic testing with focus on novel biomarkers and avenues for future research[J].Curr Pharm Biotechnol,2014,14(14):1168-1178.
[11] Guntupalli KK,Hall N,Karnad DR,et al.Critical illness in pregnancy:part I:an approach to a pregnant patient in the ICU and common obstetric disorders[J].Chest,2015,148(4):1093-1104.
[12]陈敦金,陈艳红.羊水栓塞团队处置与抗凝治疗—目前的观点[J].中国实用妇科与产科杂志,2017,33(7):691-694.