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案情简介女,27岁,孕4周,G_2Po,1989年10月23日因腰痛入院。临产后10小时产程无进展,因头盆不称及尿潴留而作剖腹产,在硬膜外注入2%利多卡因三个剂量共15ml后25分钟,手术者切开腹部皮肤时发现手述切口流出皿液呈暗红色,即测血压为5.3/kPa,2分钟后血压为0,心脏搏动消失,意识消失,终因抢救无效死亡。死后为检查硬脊膜完整性,曾向麻醉导管中注射造影剂凡影葡胺30ml及美蓝稀释液20ml。
Case description Female, 27 years old, pregnant 4 weeks, G_2Po, October 23, 1989 due to low back pain admitted. Ten hours after labor, there was no progress in the labor course. Caesarean section was done due to lack of hydatidiform encephalopathy and urinary retention. After the epidural injection of 3% lidocaine 2% in 15 ml for 15 minutes, the incision was found in the abdominal skin of the surgeon Out of the dish was dark red liquid, that is, blood pressure was 5.3 / kPa, 2 minutes after the blood pressure was 0, the heart beats disappeared, loss of consciousness, and ultimately died due to rescue ineffective. After death to check the dura mater integrity, anesthesia catheter was injected contrast agent meglummelamine 30ml and methylene blue diluent 20ml.