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目的:法医病理学角度关于孕产妇死亡医疗纠纷案特点、死亡原因分析报告。方法:回顾性分析2000年5月-2016年5月54例孕产妇死亡医疗纠纷案。结果:85.2%(46/54)死于围产期,14.8%(8/54)死于妊娠早期流产后。75.9%(41/54)死亡原因为失血性休克,13.0%(7/54)死亡原因为羊水栓塞,11.2%(6/54)为其他原因所致死亡。结论:孕产妇死亡的重要危险因素主要为失血性休克与羊水栓塞,围产期是孕产妇的死亡敏感期;提高对失血性休克与羊水栓塞临床诊断与救治水平是降低孕产妇死亡率,减少避免孕产妇死亡纠纷事故的关键举措。
Objective: Forensic pathology point of view on the characteristics of medical dispute cases of maternal death, death causes analysis report. Methods: A retrospective analysis of May 2000 - May 2016 54 cases of maternal death medical disputes. Results: 85.2% (46/54) died of perinatal period and 14.8% (8/54) died of early pregnancy miscarriage. 75.9% (41/54) died of hemorrhagic shock, 13.0% (7/54) died of amniotic fluid embolism, and 11.2% (6/54) died of other causes. Conclusion: The main risk factors of maternal mortality are hemorrhagic shock and amniotic fluid embolism, and the perinatal period is the sensitive period of maternal death. To improve the clinical diagnosis and treatment of hemorrhagic shock and amniotic fluid embolism is to reduce maternal mortality and reduce A key move to avoid maternal death disputes.