目的 了解羊水栓塞"医闹"的相关因素.方法 在百度和Google中输入"羊水栓塞,医疗纠纷,医闹"等关键词进行检索,将羊水栓塞医疗纠纷、"医闹"的案件认真阅读后摘录、编号并列表统计分析.结果 ①案件网上发表时间为1986年10月25日至2009年3月18日,共78起,羊水栓塞医疗纠纷、"医闹"案件随年度增长其构成比增加.②56.41%明确记载医院名称,37.18%记载某医院,6.41%记载其他.③"医闹"占23.08%;其中66.67%停尸医院,摆放花圈,设灵堂,奏哀乐,放鞭炮,烧纸钱,点香烛等;殴打医务人员及严重威胁相关医务人员人身安全分别占22.22%;将刚出生女儿丢弃医院长达3个月之久占5.56%."医闹"导致医院停业并转诊孕产妇10余人到其他医院占5.56%.参加"医闹"人数为数十人、几百人,甚至上千人."医闹"形式:大批社会人员冲击医院、占据医院多处工作场所,集会,捣毁办公室,砸领导家门窗."医闹"持续时间为20多小时至断断续续3个月不等.④10.26%案件报警:其中62.50%医院报警,37.50%家属报警.87.50%案件公安部门介入,12.50%案件警察袖手旁观.拘捕及拘留分别占12.50%;25.00%追究刑事责任.⑤32.05%家属提出赔偿要求:赔偿金5 ~300万元;要求新生儿由医院扶养至18周岁占4.00%.40.00%案件医院给予补偿:补偿金3000元至42万元;述及医院无过错,补偿出于无奈占30.00%.结论 产科医务人员勤于学习相关法律知识,以严肃科学的诊疗规范,及早发现羊水栓塞的征兆,及早诊断,及早急救,尽最大可能维持孕产妇生命,保障产科医疗工作及时准确,安全有效,是从根本上避免羊水栓塞医疗纠纷、"医闹"的关键.%Objective TO investigate the relevant factors of amniotic fluid embolism" medical trouble".Methods In Baidu and Google,type "amniotic fluid embolism,medical malpractice, medical trouble" and other keyword search,the amniotic fluid embolism medical dispute," medical trouble" read the following extract from the case,number and a list of statistical analysis. Results ① time of the case published online October 25,1986 to March 18,2009, a total of 78, amniotic fluid embolism medical dispute," medical trouble" case with the annual growth in its composition than the increase. ②56.41％ recorded in the hospital a clear name ,37.18％ recorded in a hospital ,6.41％ recorded in the other. ③" medical alarm" accounted for 23.08％; of which 66.67％ of the hospital morgue, placed a wreath, set mourning, playing funeral music, fireworks, paper money, incense and other points; Europe to play a serious threat to medical staff and medical personnel related to safety accounted for 22.22％; the hospital newborn daughter dropped up to 3 months old accounted for 5.56％. "medical alarm" led to the referral maternity hospital closed and more than 10 other hospitals accounted for 5.56％. To participate in "medical trouble" number of dozens, hundreds, even thousands. "medical alarm" form: the impact of a large number of hospital social workers, accounting for many hospitals in the workplace, meetings, destroyed the office, smashing windows and doors leading home. "medical alarm" duration of 20 hours to off 3 months. ④ 10.26％ cases of alarm: the alarm of which 62.50％ hospitals ,37.50％ families of the police. 87.50％ of cases involved public security departments,12.50％ of the cases the police stand idly by. Arrest and detention accounted for 12.50％;25.00％ held criminally responsible. ⑤ 32.05％ families demanded compensation:compensation for 50 000 to 3 000 000 yuan; required maintenance to the newborn from the hospital accounted for 4.00％ of 18 years. 40.00％ of cases the hospital compensation:compensation 3 1000 to 420 000 yuan; covers hospital not at fault, compensation accounted for 30.00％ out of frustration. Conclusion Obstetric medical staff eager to learn the relevant legal knowledge, diagnosis and treatment of a serious scientific norms, early detection of signs of amniotic fluid embolism, early diagnosis, early first aid, pregnant women as possible to maintain life, protect the work of accurate and timely obstetric care, safe and effective,is amniotic fluid embolism from the root to prevent medical disputes, "medical alarm" the key.
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