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患者.30岁.孕3产2,因怀孕5个月入院引产.入院后体检T36.5C,P88次/min,BP 14/10kPa,心肺正常,腹软.肝脾未触及,宫底平脐,如孕5月大小.闻及胎心音.既往健康.血、尿常规正常,胸透正常.于当日行羊膜腔内穿刺术,1次穿刺成功,注入1%依沙吖啶100mg.病人注入药物后10min,突感腹部剧痛、呕吐、头晕、面色苍白、出冷汗.呻吟.体检P60次/min,R20次/min,BP12/8kPa,四肢发凉,全身皮肤无皮疹发绀,腹软.子宫轮廓清楚,触之有宫缩.压痛,做内诊无异常发现.心电图正常.给予安定10mg及阿托品0.5mg肌注,40min后腹痛缓解,血压回升.脉搏增快,自觉症状
Patients .30 years old. Pregnancy and 3 births 2, 5 months pregnant due to admission to hospital .Patients admitted after admission T36.5C, P88 times / min, BP14 / 10kPa, normal heart and lung, abdominal soft. , Such as the size of pregnancy in May.Formula and fetal heart sound .Previous health .Blood, urine routine normal, thoracotomy normal .On the day of amniotic puncture, 1 puncture success, injection of 1% ethacridine 100mg. Patient 10 minutes after the injection of drugs, sudden sensation abdominal pain, vomiting, dizziness, pale, out of cold sweat. Moan. Physical examination P60 times / min, R20 times / min, BP12 / 8kPa, cold extremities, systemic skin rash without cyanosis, Uterine clear outline, contact with uterine contractions. Tenderness, so no abnormal findings were found. ECG normal. Given diazepam and 0.5mg intramuscular injection of atropine, 40min after abdominal pain relief, blood pressure rise. Increased pulse, subjective symptoms