【摘要】 目的 探讨羊水栓塞所致产妇猝死的病理学特点，为产科纠纷提供科学依据。 方法 分析2例羊水栓塞所致产妇猝死病例的尸检HE切片，并进行免疫组化标记观察。结果 2例均见肺小动脉及毛细血管内有成团梭形鳞状细胞，并见胎粪小体，1例在子宫血管内见鳞状细胞。免疫组化标记见血管内鳞状细胞Cytokeratin(pan)阳性，CD34阴性。结论 羊水栓塞的尸检病理学诊断在产科纠纷的处理中具有重要意义。

    【关键词】羊水栓塞； 尸体解剖；诊断；产科纠纷

    Significance of cadaveric pathology diagnose in obstertrical dispute parturients’ sudden death with AFE

    WANG Xiu-qin.The Dongying People’s Hospital Shandong,257091 China

    【Abstract】 Objective Explore the pathologic feature of sudden death lying-in women with ammiotic fluid embolism to obtain correct assessment and avoid dispute,to provide scientific proof for obstertrical dispute.Methods 2 cases of sudden death lying-in women with ammiotic fluid embolism were analyzed using HE staining and S-P immunohistochemical staining.Results Conglobate fusiform squamous cell and meconium corpuscles on arteriole and micrangium of lung could be found in all 2 cases ofammiotic fluid embolism.Squamous cell on uterine blood vessel could be found in one case.Squamous epithelium cell on blood vessel was positive for cytokeratin(pan)and negative for CD34.Conclusion It’s significant that cadaveric pathology diagnose of part urient with AFE in the cause of obstertrical dispute. ......