摘要：目的：通过对23例羊水栓塞(AFE)临床分析,找出其诱发高危因素，并提出防治措施。方法：对我院1988年至2005年中发生的23例AFE的临床资料进行回顾性分析，按每6年为1个阶段划分为3个阶段。结果：18年间AFE的发生率1/1694。催产素使用不当，人工剥膜是AFE的主要诱发因素。23例中18例有产时干预占78.3%，存活13例中，12例及早诊断(92.3%)，6例使用肝素(46.2%)。结论：早期诊断，迟早使用肝素，可提高抢救的成功率;加强产时保健、保护、支持、促进自然分娩，减少不必要的医疗干预，是预防AFE发生的有效措施。

     关键词： 羊水栓塞； 产时干预； 诊断； 预防

    The Clinical Analysis of 23 Cases with Ammiotic Fluid Embolism

    FENG Hui-juan, YANG Mei, ZHENG Cai-zhu， et al

    (Maternal and Child Health Institute of Zhanjiang， Guangdong Zhanjiang 524038, China)

    Abstract： Objective： To analyze the clinical course of amniotic fluid embolism(AFE)and identify the high risk factors. Method： Twenty-three cases diagnosed as AFE during period of past 18 years were analyzed retrospectively. Eighteen years were divided into 3 stages with 6 years each. Results： The incidence of AFE is 1/1694. Unreasonable use of oxytocics and the man-made pellicle are main element leads to the apperance of AFE. There are 18 cases (78.3%) that would be intervention of during labor among 23 cases. Of 13 Living cases, 12 cases (92.3%) were confirmed immediately, and 6 cases (46.2%) were treated with heparin. Conclusion： Forepart diagnoses and using of heparin as early as possible can enhance the possibility of successful salvage ......