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[39例因催产素使用不当导致孕产妇死亡病例分析]

[Analysis of 39 cases of maternal deaths caused by incorrect use of oxytocin].

作者信息

Zheng Q L, Zhang X M

机构信息

Maternal Child Health Center of Fujian Province, Fuzhou.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 1994 May;29(5):276-7, 316-7.

PMID:7956550
Abstract

Thirty-nine cases of maternal deaths directly caused by incorrect use of oxytocin in Fujian Province from 1986 to 1992 were analysed. The results showed that 90.00% of these deaths occurred in the rural and mountainous areas. The main reason was the ignorance of the birth attendents on the pros and cons of oxytocin administration and therefore the incorrect use. The causes of maternal deaths were ranged in the following order: uterine rupture, soft tissue injury of the birth canal and amniotic fluid embolism. All were emergent deaths with 79.49% dying in intrapartum period or within four hours after delivery and 28.20% at patients' home or on their way to hospital.

摘要

对福建省1986年至1992年因催产素使用不当直接导致的39例孕产妇死亡病例进行了分析。结果显示,这些死亡病例的90.00%发生在农村和山区。主要原因是接生人员对使用催产素的利弊认识不足,从而导致使用不当。孕产妇死亡原因依次为:子宫破裂、产道软组织损伤和羊水栓塞。所有均为急死,79.49%死于分娩期或产后4小时内,28.20%死于患者家中或送往医院途中。

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