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\u5178\u578b\u6587\u672c\u4e09\uff1a\u201c\u5a46\u5bb6\u6015\u5f71\u54cd\u751f\u4e8c\u80ce\uff0c\u4e0d\u8bb8\u5256\u8179\u4ea7\u4e0d\u8bb8\u6458\u9664\u5b50\u5bab\uff0c\u62d6\u6b7b\u4e86\u5ab3\u5987\uff0c\u8fd8\u8981\u62ff\u7740\u5ab3\u5987\u513f\u7684\u5c38\u4f53\u8bb9\u94b1\u3002\u201d<\/p>\n
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\u62ff\u8fd9\u4f4d\u8bc4\u8bba\u5458\u81ea\u5df1\u7684\u6587\u7ae0\u4e3e\u4f8b\u3002\u6bd4\u5982\u4ed6\u8bf4\uff1a\u201c\u7f8a\u6c34\u6813\u585e\u2026\u2026\u5b55\u5987\u548c\u80ce\u513f\u6b7b\u4ea1\u7387\u9ad8\u8fbe80%\u201d<\/p>\n
\u7b14\u8005\u201c\u5feb\u901f\u7684\u7b80\u5355\u5b66\u4e60\u201d\u4e86\u4e00\u4e0b\uff0c\u6307\u51fa\uff0c\u8fd9\u662f\u8fc7\u65f6\u7684\u8001\u6570\u636e\uff0c\u65b0\u7684\u6570\u636e\u662f\uff1a<\/p>\n
\u52a0\u5dde94-95\u5e74109\u4e07\u5b55\u5987\u8c03\u67e5\u4e2d\uff0c\u53d1\u73b0\u7f8a\u6c34\u6813\u585e55\u4f8b\uff0c\u75c5\u6b7b\u7387\u4e3a26.4%\u3002\u6765\u81ea\uff1aGilbert et al “Amniotic fluid embolism: decreased mortality in a population-based study” Jun 1999\uff0chttp:\/\/www.ncbi.nlm.nih.gov\/pubmed\/10362165<\/p>\n
\u4ec0\u4e48\uff1f\u4f60\u8bf4\u52a0\u5dde\u4e8c\u5341\u5e74\u524d\u7684\u533b\u7597\u6761\u4ef6\u4f9d\u7136\u597d\u4e8e\u4e2d\u56fd\u4e2d\u5c0f\u57ce\u5e02\uff1f\u90a3\u77f3\u5bb6\u5e84\u53ca\u5468\u8fb9\u53bf\u5e0260\u4f8b\u7f8a\u6c34\u6813\u585e\u75c5\u4f8b\u8c03\u67e5\uff0c\u6b7b\u4ea1\u738738.3%\u3002\u6765\u81ea\uff1a\u5434\u8273\u971e\u7b49\u300a\u7f8a\u6c34\u6813\u585e60\u4f8b\u4e34\u5e8a\u5206\u6790\u300b\u5b9e\u7528\u5987\u4ea7\u79d1\u6742\u5fd7 2008.4<\/p>\n
\u8fd8\u6709\u4ed6\u8bf4\uff1a\u201c\u5bb6\u5c5e\u2026\u2026\u6ca1\u6709\u53ca\u65f6\u540c\u610f\u8f6c\u4e3a\u5256\u8179\u4ea7\uff0c\u8fd9\u662f\u5bfc\u81f4\u7f8a\u6c34\u6813\u585e\u672a\u80fd\u907f\u514d\u7684\u4e3b\u8981\u539f\u56e0\u3002\u201d<\/p>\n
\u9996\u5148\u524d\u63d0\u662f\u4e0d\u6b63\u786e\u7684\uff0c\u5bb6\u5c5e\u540c\u610f\u4e86\u4e5f\u5256\u8179\u4e86\uff0c\u800c\u4e14\u90a3\u65f6\u8fd8\u6ca1\u72af\u75c5\u5462\u3002\u5987\u4ea7\u79d1\u5927\u592b@\u767d\u8863\u54b8\u996d \u8bc4\u4ef7\u8bf4\uff1a\u201c\u6b64\u6587\u8bf4\u6709\u51c6\u5907\u7684\u5256\u5bab\u4ea7\u662f\u51cf\u5c11\u548c\u9884\u9632\u7f8a\u6c34\u6813\u585e\u7684\u65b9\u6cd5\uff0c\u8fd9\u53e5\u8bdd\u4e0d\u4ec5\u9519\u5f97\u79bb\u8c31\uff0c\u800c\u4e14\u6781\u5177\u86ca\u60d1\u6027\u3002\u201d<\/p>\n
\u6211\u8fd8\u53ef\u4ee5”\u901a\u8fc7\u7b80\u5355\u7684\u4e92\u8054\u7f51\u5b66\u4e60\u201d\u518d\u7ed9\u5f53\u4e8b\u533b\u9662\u52a0\u4e0a\u4e00\u9524\u5b50\uff1a<\/p>\n
Clark\u7b49\u533b\u751f\u53d1\u73b0\u5256\u8179\u4ea7\u548c\u7f8a\u6c34\u6813\u585e\u9ad8\u5ea6\u76f8\u5173\uff0c\u7f8a\u6c34\u6813\u585e\u53d1\u75c5\u7684\u4ea7\u5987\u4e2d\uff0c\u6709\u8fc7\u5256\u8179\u4ea7\u5386\u53f2\u6216\u521a\u8fdb\u884c\u5b8c\u5256\u8179\u4ea7\u7684\u6bd4\u4f8b\uff0c\u63a5\u8fd1\u6b63\u5e38\u4eba\u7684\u4e09\u500d\u3002Clark SL et al “Amniotic fluid embolism: Analysis of the national registry”. Am JObstet Gynecol 1995;172:1158\u201369.<\/p>\n
Lau\u7b49\u4eba\u540c\u6837\u4f50\u8bc1\u4e86\u8fd9\u4e2a\u53d1\u73b0\uff0c10\u4e2a\u7f8a\u6c34\u6813\u585e\u6b7b\u4ea1\u75c5\u4f8b\u4e2d\uff0c\u6709\u4e00\u534a\u8fdb\u884c\u8fc7\u5256\u8179\u4ea7\u3002Lau et al,”Amniotic fluid embolism: A review of 10 fatal cases.” Singapore Med J 1994;35:180 \u20133.<\/p>\n
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\n\u5bb6\u5c5e\u62c5\u5fc3\u533b\u9662\u51fa\u4e8b\u6545\u533b\u6b7b\u75c5\u4eba\u540e\uff0c\u8499\u9a97\u81ea\u5df1\uff0c\u63a5\u5230\u6751\u652f\u4e66\u5a49\u8f6c\u7684\u901a\u77e5\uff0c\u9a6c\u4e0a\u5e26\u8bb0\u8005\u6765\u7838\u95e8\uff0c\u53d1\u73b0\u533b\u751f\u4eec\u679c\u7136\u5fc3\u865a\u6e9c\u8d70\u4e86\uff0c\u8fd8\u8ba4\u8d5450\u4e07\u3002\u7ed3\u679c\uff0c\u5bb6\u5c5e\u8d8a\u53d1\u76f8\u4fe1\u533b\u9662\u6709\u533b\u7597\u8d23\u4efb\u3002<\/p>\n
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———————————————<\/p>\n
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1.\u533b\u9662C\u88ab\u4e00\u5927\u6279\u75c5\u4eba\u5bb6\u5c5e\u56f4\u4f4f\u4e86\uff0c\u56e0\u4e3a\u6709\u4e9b\u75c5\u4eba\u5403\u4e86\u8be5\u9662\u5f00\u7684\u67d0\u79cd\u65b0\u836f\uff0c\u6b7b\u4e86\u3002\u5c3d\u7ba1\u836f\u54c1\u526f\u4f5c\u7528\u4e2d\u5df2\u6807\u6ce8\u6709\u53ef\u80fd\u9020\u6210\u6b7b\u4ea1\uff0c\u4f46\u8fd9\u6b21\u4eba\u6570\u8f83\u591a\uff0c\u8d85\u8fc7\u5e73\u5747\u503c\u6570\u500d\uff0c\u4ee4\u4eba\u611f\u89c9\u4e0d\u592a\u6b63\u5e38\u3002\u533b\u7597\u673a\u6784\u9274\u5b9a\u8ba4\u4e3a\u8be5\u6279\u6b21\u836f\u54c1\u8d28\u91cf\u6ca1\u6709\u95ee\u9898\uff0c\u5c5e\u5076\u53d1\u4e8b\u4ef6\uff0c\u75c5\u4eba\u5bb6\u5c5e\u4e0d\u5e72\u4e86\uff0c\u62b1\u56e2\u4e0a\u8bbf\u3002<\/p>\n
a.\u5982\u679c\u4f60\u662f\u8bb0\u8005\uff0c\u600e\u4e48\u62a5\uff1f\u600e\u4e48\u770b\uff1f
\nb.\u5047\u5982\u4f60\u67e5\u51fa\u8fd9\u5bb6\u533b\u9662C\u7684\u5176\u5b83\u95ee\u9898\uff0c\u6bd4\u5982\u8bef\u8bca\u3001\u8fc7\u5ea6\u533b\u7597\uff0c\u5c11\u91cf\u836f\u54c1\u8fc7\u4fdd\u8d28\u671f\uff0c\u90e8\u5206\u533b\u751f\u65e0\u8d44\u8d28\u7b49\u3002\u4f53\u73b0\u51fa\u5b83\u7684\u4e00\u4e9b\u7ba1\u7406\u6f0f\u6d1e\uff0c\u4f46\u8fd9\u4e9b\u95ee\u9898\u548c\u8fd9\u6b21\u6b7b\u4ea1\u4e8b\u4ef6\u627e\u4e0d\u51fa\u592a\u5927\u5173\u7cfb\uff0c\u4f60\u600e\u4e48\u62a5\uff1f<\/p>\n
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