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作者报告一例胸外心脏按压并发脾脏和肝动脉损伤。此例为49岁妇女,因持续性月经过多伴有腹部压迫性尿失禁,数月前曾行刮宫和阴道会阴缝合术,无效而再次入院。入院检查,一般体质良好,无明显体征和症状,不贫血。择期实施经腹子宫切除和阴道悬吊术,经过良好,失血不多。6小时病人苍白,心动过速,曾输血2单位。术后24小时引流和阴道失血仅200ml左右,心血管系仍稳定。术后约48小时病人发生心跳呼吸骤停。立即行胸外心脏按压,气管内插管,用纯氧进行间歇正压通气和
The authors report a case of extrathoracic cardiac compression complicated by splenic and hepatic arterial injury. This case is a 49-year-old woman who has been hospitalized again due to persistent menorrhagia with incontinence due to abdominal pressure incontinence. A few months ago he had a curettage and vaginal perineal suturing. Admission examination, the general physical fitness, no obvious signs and symptoms, not anemia. Elective abdominal transabdominal hysterectomy and vaginal suspension, after a good, less blood loss. 6 hours patient pale, tachycardia, had transfused 2 units. 24 hours after drainage and vaginal bleeding is only about 200ml, the cardiovascular system is still stable. About 48 hours after the patient had a sudden cardiac arrest. Immediate chest compression, endotracheal intubation, with intermittent positive pressure ventilation and oxygen