一、病例介绍 例1,女,23岁。妊娠3月余,在某中医院用天皂合剂(花粉素0.25 g,牙皂3.1g)阴道上药引产。上药后7 h患者寒战、头痛、头昏、体温39℃,脉搏104次/min。实验室检查:白细胞16±×10~9/L,中性0.93,淋巴0.07,即将药取出。次日患者病情加重,出现昏迷、口唇青紫、瞳孔缩小,于上药后30 h发生急性死亡。尸检:女性成年尸体,尸 Case Introduction Case 1, female, 23 years old. More than three months of pregnancy, a Chinese herbal hospital used Tian soap mixture (pollenin 0.25 g, tooth soap 3.1 g) vaginal drug induction. 7 hours after the drug chills, headache, dizziness, body temperature 39 °C, pulse 104 times / min. Laboratory tests: Leukocytes 16±10-9/L, neutral 0.93, lymphatics 0.07, the drug was removed. The next day the patient became aggravated with a coma, cyanosis, diminution of the pupils, and acute death at 30 h after treatment. Autopsy: Female adult body, dead body