急性羊水栓塞在产科临床中并非多见,但是是危及产妇生命的严重并发症之一。现将笔者1986年所遇到的3例急性羊水栓塞报告如下: 例1 孟××,29岁,初孕36周,于1986年7月6日因阵阵腹痛,阴道流血而入院待查。血压100/60毫米汞柱,脉搏88次,体温37.2℃,心肺正常,胎儿左枕前位,胎心音144次/分,下肢无浮肿,宫口开大4.5厘米,已破膜,入院后7小时,自然早产1活婴,5分钟后正在胎盘自然娩出中,产妇突然出现寒战,胸闷、气短、口唇与颜面明显发绀。立即给予吸氧,地 Acute amniotic fluid embolism is not uncommon in obstetrics and gynecology, but it is one of the serious complications that endanger maternal life. Now I encountered in 1986, three cases of acute amniotic fluid embolism reported as follows: Example 1 Meng × ×, 29 years old, 36 weeks of first pregnancy, on July 6, 1986 due to bursitis abdominal pain, vaginal bleeding and hospital for further investigation. Blood pressure 100/60 mm Hg, pulse 88, body temperature 37.2 ℃, normal heart and lung, fetal left anterior occipital, fetal heart sound 144 beats / min, lower extremity no edema, cervix open 4.5 cm, has ruptured the membrane, after admission 7 hours, a natural preterm birth 1 live baby, 5 minutes after the placenta is naturally delivered, the maternal sudden chills, chest tightness, shortness of breath, lips and face obvious cyanosis. Give oxygen immediately to the ground