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我科近20年遇到4例肺栓塞病人,其中3例为妇科麻醉及手术后。2例死亡,经尸检证实诊断,1例因我们警惕了肺栓塞,抢救成功,随访1年情况良好。另1例是内科急诊病人,经我们鉴别是肺栓塞,但因大块栓塞(尸检证明),抢救无效死亡。例1.49岁,患子宫粘膜下肌瘤,失血性贫血、高心病。连硬麻醉下拟行子宫切除术,因麻醉无效而停手术。当晚23时下床小便,突感胸
Four cases of pulmonary embolism were encountered in our hospital in the past 20 years, of which 3 cases were treated by gynecological anesthesia and surgery. 2 died, confirmed by autopsy diagnosis, 1 case because of our vigilance of pulmonary embolism, the successful rescue, follow-up of 1 year in good condition. Another case of medical emergency patients, identified by us as pulmonary embolism, but due to massive embolization (autopsy), the rescue died. Example 1.49 years old, suffering from uterine fibroids, hemorrhagic anemia, high heart disease. Even hard anesthesia under the proposed hysterectomy, anesthesia and stop surgery. 23 o’clock that night urinate, suddenly felt chest