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1 病历摘要患者34岁,住院号272262;孕2产2产前正常.于1991年3月30日凌晨2时在家足月自然分娩一女婴,胎盘自娩.第一产程2小时,土法接生.分娩1小时后病人感口渴、头晕、胸闷,阴道流血量多.于产后12小时送入当地医院.当时检查血压为8.0/4.0kPa,诊断为“胎盘残留”,“产后大出血”、“失血性休克”.立即补液并静注催产素20U 后进行探宫术.约3～5分钟术毕,在宫腔内取出残留胎盘200g,并有血块.术后约40分钟,即当静滴完低分子右旋糖酐,500ml 后,病人突然咳嗽气急,口吐微红色泡沫样痰,口唇紫绀,四肢抽搐,神志不清,血压下降为
A case history Abstract 34-year-old patient, hospital number 272262, pregnancy 2 and 2 prenatal normal at March 2, 1991 at 2:00 in the natural birth of a baby girl, the placenta from childbirth first child 2 hours, native One hour after delivery, the patient felt thirsty, dizzy, chest tightness and vaginal bleeding, and was delivered to the local hospital 12 hours after delivery.The blood pressure was 8.0 / 4.0kPa at the time of diagnosis, the diagnosis was “placental residue”, “postpartum hemorrhage” “Hemorrhagic shock.” Immediate rehydration and intravenous oxytocin 20U after exploration exploration. About 3 to 5 minutes after surgery, remove the residual intrauterine placenta 200g, and blood clots. About 40 minutes after surgery, that is, when the static Dropping low molecular dextran, 500ml, the patient suddenly cough and urgency, spit micro-red foam-like sputum, cyanotic lips, limbs convulsions, confusion, blood pressure dropped to