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刘巧玲(云南省昆明市寻甸五洲医院,云南昆明655200)1诊断羊水栓塞(AFE);弥散性血管内凝血(DIC)2诊断依据及分析诊断依据:(1)患者25岁,G_1P_0,孕31~(3+)周,发现胎儿死亡1天。(2)产科检查宫高22 cm,腹围86 cm。(3)B超检查示胎儿双顶径86 cm,股骨长5.1 cm,胎儿未见确切胎心搏动。提示宫内死胎。血常规:Hb 100 g/L。(4)入院后给予口服米非司酮配伍依沙吖啶羊膜腔内注射引产。(5)于宫口开全时,出现胸闷,神情淡漠、面色苍白、大汗淋漓、口唇及指端发绀,心率121/
Diagnosis of amniotic fluid embolism (AFE); disseminated intravascular coagulation (DIC) 2 Diagnosis based on and analysis of diagnostic criteria: (1) patients 25 years old, G_1P_0, pregnant 31 ~ (3 +) weeks, fetal death was found for 1 day. (2) Obstetric examination Palace height 22 cm, abdominal circumference 86 cm. (3) B-ultrasound showed fetal biparietal diameter 86 cm, 5.1 cm femur, the fetus did not see the exact fetal heart rate. Prompted intrauterine fetal death. Blood: Hb 100 g / L. (4) after admission to give oral mifepristone compatibility according to the acridine intramural injection of abortion. (5) in the cervix all the time, there chest tightness, apathy, pale, sweating lips and fingers cyanosis, heart rate 121 /