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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。
From January 1985 to May 1995, 6 cases of amniotic fluid embolism in our hospital were retrospectively analyzed. The results showed that the incidence of amniotic fluid embolism in our hospital was 40/100000, the mortality rate was 20.1 / 100,000, accounting for 27.3% of maternal deaths were significantly higher than those reported in the literature. 6 cases in 4 cases of intravenous infusion of oxytocin, 4 cases of pressure to increase the end of the uterus pressure, that amniotic fluid embolism and inappropriate use of oxytocin has a certain relationship, the second stage of labor to press the bottom of the palace to increase abdominal pressure Amniotic fluid embolism is the main reason.