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例1:19岁,未婚。因停经60天于1991年5月15日来我院行人工流产术。术前妇检见子宫前位,增大如孕9周大,尿乳胶妊娠试验阳性。当即行吸宫术。术前15分钟肌注阿托品0.5mg。宫腔深11cm,宫颈口扩张顺利,用7号吸管,负压53.2kPa,吸出胚胎组织约50g。肉眼见绒毛,术后宫腔深9.5cm,出血约5ml,手术顺利,受术者无不良反应。术后1小时感到下腹部痉挛性阵痛,阴道出血少许,2小时后转为持续性阵发性加剧,并有头晕、乏力、恶心,面色苍白,BP13.3/9.3kPa,P72次/分,宫底升至耻骨联合上2横指,张力大,有触痛。考虑为“吸宫术后急性宫腔积血”。立即行清宫术,探宫腔12cm,宫口紧,扩张宫颈至7号,吸出暗红色有小凝血块的血液约450ml,无胚胎组织,术后宫腔深度9cm,腹痛明显减轻,出血少,一般情况好,休息2小时后,无不良反应,痊愈回家。
Example 1:19 years old, unmarried. Due to menopause 60 days in May 15, 1991 to our hospital abortion. Preoperative gynecological see uterine anterior, increased as 9 weeks pregnant, urinary latex pregnancy test positive. Immediately line aspiration. 15 minutes before surgery intramuscular injection of atropine 0.5mg. Uterine cavity depth 11cm, cervical dilatation smoothly, with No. 7 straw, negative pressure 53.2kPa, aspiration of embryo tissue about 50g. The naked eye see villi, postoperative uterine cavity depth 9.5cm, bleeding about 5ml, the operation goes well, no adverse reactions by the surgeon. One hour after operation, he felt spasmodic pain in the lower abdomen and a little vaginal bleeding, which became persistent after 2 hours. He developed dizziness, fatigue, nausea, paleness, BP13.3 / 9.3kPa and P72 / Palace rose to the pubic symphysis on the 2 cross-means, tension, tenderness. Considered as “Uterine bleeding after acute uterine bleeding.” Immediately curettage surgery, exploration of the uterine cavity 12cm, tight cervix, expansion of the cervix to 7, the dark red blood clot with small blood clot about 450ml, no embryonic tissue, postoperative uterine depth 9cm, abdominal pain was significantly reduced, less bleeding, Generally good, rest 2 hours later, no adverse reactions, heal home.