羊水栓塞6例临床分析

对１９８５年１月～１９９５年５月我院发生的羊水栓塞６例进行了回顾性分析，结果发现，我院羊水栓塞发生率为４０／１０万，死亡率为２０．１／１０万，占孕产妇死亡的２７．３％，均显著高于文献资料的报道。６例中有４例产程中静滴催产素，４例用按压宫底的方式增加腹压，认为羊水栓塞与催产素使用不当有一定关系，第二产程中以按压宫底的方式增加腹压是羊水栓塞高发的主要原因。

Amniotic fluid embolism: clinical analysis of 6 cases

Six cases of amniotic fluid embolism in our hospital from Jan. 1985 to May 1995 were analysed.The results show that the incidence of amniotic fluid embolism was 40/100000 live births, and the maternal mortality was 20.1/100000 live births making up 27.3%of total maternal deaths. The matermal morbidity and mortality was much higher than that reported.Oxytocin and the way of pressing fundus of uterus have been used in 4 of the 6 cases during delivery.It is suggested that unreasonable use of oxytocics during delivery might be associated with amniotic fluid embolism, and rudely pressing fundus of uterus was probably the particular reason of high maternal morbidity and mortality of amniotic fluid embolism in our hospital.