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1病历摘要女,31岁。因怀孕足月早破水在连续硬膜外麻醉下行子宫下段剖宫产术,麻醉经过顺利,手术开始后麻醉效果满意。当切开子宫取出胎儿后,产妇出现严重寒战,立即静脉注射哌替啶50mg,继而出现胸痛、头痛、咳嗽、呼吸困难、心率增快,PaO299%。考虑患者为羊水栓塞(肺
1 medical record summary female, 31 years old. Due to premature rupture of water in full term continuous epidural anesthesia for uterine cesarean section, after a smooth anesthesia, anesthesia after the start of surgery was satisfactory. When the uterus was removed after removal of the fetus, the maternal severe cholera occurred immediately after intravenous injection of pethidine 50mg, followed by chest pain, headache, cough, dyspnea, heart rate, PaO299%. Consider the patient as amniotic fluid embolism (lungs