Objective Through the clinical analysis of 6 cases with full-term amniotic fluid embolism (AFE), to explore the predisposing factor of AFE and emphasize on strict control of oxytocin indication. Methods Retrospectively analyzed the clinical data of 6 cases of full-term AFE, from May 2010 to December 2012, in Yangzhou County and Township Hospital. Results Incorrect static drop of oxytocin was the causative factor of AFE. 5 cases died, 1 case was successfully rescued, and the mortality was 83.3%. Conclusion Prevention is the emphasis on AFE. Strict control on oxytocin induction and reduction of unnecessary medical intervention are effective action to prevent AFE from occurring.%目的:通过对6例足月分娩羊水栓塞(AFE)患者的临床分析,找出诱发因素,强调严格掌握催产素应用指征。方法对2010年5月~2012年12月在扬州县乡级医院发生的6例足月分娩羊水栓塞患者的临床资料回顾性分析。结果不正确静滴催产素是导致6例患者羊水栓塞的诱发因素,6例中5例死亡,1例抢救成功,死亡率为83.3%。结论AFE重在预防,严格掌握催产素应用指征,减少不必要的医疗干预是预防AFE发生的有效措施。
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