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患者荣××,36岁,于1980年4月22日入院。主诉停经6周余,阴道流血一周,突发下腹剧痛7小时,出冷汗,昏厥一次,血压零。确诊为宫外孕。立即在输血及中药麻醉下剖腹探查,为右侧输卵管峡部妊娠破裂,同时左卵巢有5厘米大小囊肿,作右侧输卵管和左侧附件切除术。手术顺利,腹腔中积血2,000毫升,术中输自血1,000毫升,术前、中、后共输全血1,600毫升.自输血及中药麻醉后病员血压很快回升,并稳定在正常水平,尿量多,术后病员循环情况良好,但呼吸急促,必须在加压给氧呼吸下,情况才能稳定,停止人工呼吸即出现呼吸迫促、青紫.检查左肺呼吸音低,有干湿罗音,胸片见肺部有片状阴影,诊断为呼吸窘追综合征.给地塞米松、人工加压呼吸、白蛋白、西地兰、抗菌素等治疗措施,同时控
Patient Rong × ×, 36 years old, was admitted on April 22, 1980. Master complained of more than 6 weeks after vaginal bleeding a week, sudden abdominal pain for 7 hours, a cold sweat, fainting, zero blood pressure. Confirmed as ectopic pregnancy. Immediately in the blood transfusion and traditional Chinese medicine under anesthesia laparotomy for the right fallopian tube isthmus rupture of pregnancy, while the left ovary 5 cm in size cysts for the right tubal and left accessory resection. Surgery was successful, intraperitoneal blood accumulation of 2,000 ml, intraoperative blood transfusion from 1,000 ml, preoperative, after the total transfusion of 1,600 ml of blood.Since the blood transfusion and traditional Chinese medicine anesthesia patients blood pressure quickly rose, and stabilized at normal levels, urine Quantity, postoperative patient circulation is good, but shortness of breath, must be under pressure to oxygen breathing, the situation can be stabilized, stop breathing artificial respiration forced, purple. Check the left lung breath sounds low, dry and wet rales , Chest X-ray film see the shadow of the lungs, diagnosis of respiratory distress syndrome. Dexamethasone, artificial pressure breathing, albumin, cedilanid, antibiotics and other treatment measures, at the same time control