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我院在中期妊娠引产和钳刮术中发生羊水栓塞症2例,经及时抢救转危为安,今报告如下。例一、方××,女,39岁,因停经3~+月要求人工流产而于1978年3月20日入院。妇科检查;宫颈光滑,宫体前倾,呈4月妊娠大小,附件无异常发现。入院诊断:4~-月妊娠。实验室检查:血红蛋白9.5克,出凝血时间均为2’,血小板计数178000。患者入院经常规处理后于第二天行钳刮术,在扩张宫颈后注射催产素10单位于宫颈,钳刮过程顺利,但在破水后约30分钟,患者突然寒颤,紫绀、呼吸困难,气促、呛咳,两
2 cases of amniotic fluid embolism occurred in mid-pregnancy induced abortion and forceps curettage in our hospital, after a timely rescue crisis, the report is as follows. Example 1, side × ×, female, 39 years old, due to menopause 3 ~ + month abortion and was admitted on March 20, 1978. Gynecological examination; cervical smooth, Palace Gongqian, was the size of pregnancy in April, no abnormal attachment was found. Admission diagnosis: 4 ~ - month pregnancy. Laboratory tests: Hemoglobin 9.5 grams, the clotting time are 2 ’, platelet count 178,000. Patients admitted to the hospital after routine treatment line clamp curettage, in the expansion of cervical injection of oxytocin 10 units in the cervix, clamp cure smoothly, but about 30 minutes after the water burst, the patient suddenly chills, cyanosis, dyspnea, gas Promote, cough, two