关键词: 羊水栓塞, 死亡, 医疗纠纷, 法医学鉴定

Abstract: Objective To analyze factors that cause medical disputes involving death of AFE in order to improve the diagnosis and treatment of AFE and reduce AFE related medical disputes.Methods 8 medical disputes involving death of AFE and examined by our centre from 2006 to 2009 were retrospected.Results 1.Medical factors:7 cases had history of using alpha oxytocin;3 cases occurred after rupture of membranes in ante partum and 5 cases in post partum;6 cases had typical clinical symptom;7 cases got early diagnosis and 3 cases had subtotal hysterectomies;6 cases occurred in secondary hospital and below.2.Forensic medical analysis:87.5%(7/8)of all 8 cases had defects of improper using of oxytocin and defective observation record;7 cases had right early diagnosis of AFE, but had medical defects of oxygen supply, spasmolysis and hysterectomy.Conclusion Hospitals ought to increase knowledge and therapeutic ability on AFE, emphasize the integrity and standardization of recording, and improve notification and explanation to patients.All these factors are very important for forensic medical judgment and can help to reduce medical disputes.

Key words: amniotic fluid embolism, death, medical dispute, forensic medical examination