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羊水拴塞症(AFE)是产科临床中发生率不高死亡率却极高的一种并发症。羊水进入母体血循环是本症发生的原因。据报道,本症多发生在分娩过程中或分娩后片刻,亦可发生在中期妊娠羊膜腔穿刺引产和钳刮手术中。但在早期人工流产手术中发生该症的报道很少,我院妇产科最近在人工流产手术中遇到l例,故特报告如下,以供参考。患者张××,28岁,某厂工人。停经85天,经检查确诊早孕(第二胎)后于1979年3月25日上午到我院作人工流产手术。术前常规检查,一般情况良好,仅有轻度宫颈糜烂。采用的手术方法是负压吸宫术。手术开始后,为减轻受术者的不适,助手故意和其闲谈以分散注意力,在冲洗、消毒、扩张宫口过程中,患者安详,谈吐清楚。
Amniotic fluid embolism (AFE) is a complication of the extremely low mortality rate in obstetric clinics. Amniotic fluid into the maternal blood circulation is the cause of this disease. It is reported that this disease occurred in the delivery process or a short while after delivery, can also occur in the middle term amniocentesis and forceps scraping surgery. However, in the early abortion surgery occurred in the few reports of the disease, our hospital obstetrics and gynecology recently encountered in l cases of induced abortion, so special report as follows, for reference. Zhang × × patients, 28 years old, a factory worker. Menopause 85 days, confirmed by the examination of early pregnancy (second child) after March 25, 1979 morning to our hospital for abortion. Preoperative routine examination, the general situation is good, only mild cervical erosion. The surgical method used is suction pressure hysteroscopy. After the surgery began, in order to relieve the discomfort of the subject, the assistant intentionally and his chat were distracted. During the process of flushing, disinfecting and expanding the cervix, the patient was calm and spoke clearly.