女患,30岁。因孕42周,过期妊娠,住院分优。T36.4℃,P 88 min~(-1),BP 14/10 kPa。心肺(一)。腹膨隆,宫底位于剑下2指,胎位ROA,胎心率140min~(-1),先露头浮,无产兆。实验室检查:血、尿常规,肝、肾功,心电图均正常。B超示单胎、头位,胎盘过度成熟,羊水减少混浊。遂行剖宫产术,硬膜外注射1.5％利多卡因10 mL.约20 min,出现气短、发绀、大汗、阵咳大量粉红色泡沫样痰。双肺满布干湿罗音。心率130 min~(-1),奔马律。给吸氧、西地兰、吗啡、酚妥拉明、速尿、地塞米松、多巴胺、间羟胺、氨茶碱,抢救10 h后 Female, 30 years old. 42 weeks pregnant, overdue pregnancy, hospital sub-optimal. T36.4 ℃, P 88 min -1, BP 14/10 kPa. Heart and lung (a). Abdominal bulge, the palace at the bottom of the sword 2 fingers, fetal position ROA, fetal heart rate 140min ~ (-1), the first outcrop floating, no symptoms. Laboratory tests: blood, urine, liver, kidney function, ECG were normal. B ultrasound shows single-child, head position, placenta over mature, amniotic fluid to reduce turbidity. Cesarean section was performed, epidural injection of lidocaine 1.5% 10 mL. About 20 min, shortness of breath, cyanosis, sweating, cough, a large number of pink foam-like sputum. Full lung wet and dry rales lungs. Heart rate 130 min ~ (-1), galloping horse law. To oxygen, cedilanid, morphine, phentolamine, furosemide, dexamethasone, dopamine, meta-hydroxylamine, aminophylline, rescue after 10 h