1病例资料患者,女,24岁,身高160cm,体重50kg,以“产后阴道流血4h”入院,末次月经2015年10月5日。患者于2016年7月11日12时10分在当地县医院产科在会阴侧切下经阴道助娩一男婴,胎儿娩出5min后,因胎盘剥离不全,行徒手清宫,后子宫收缩欠佳,阴道流血较多,量约400ml,行宫底按摩促子宫收缩等处理后行会阴缝合术。患者于当日12时55分出现全身颤抖,自诉胸闷、气短,伴面色 1 case data patients, female, 24 years old, height 160cm, weight 50kg, “postpartum vaginal bleeding 4h ” admission, the last menstrual October 5, 2015. Patients at 12:10 on July 11, 2016 at the local county hospital obstetric gynecological vaginal delivery of a baby boy, after the baby was delivered 5min, due to incomplete dissection of the placenta, OK bare hands after the palace, poor uterine contraction, vaginal bleeding More, the amount of about 400ml, at the end of palace massage to promote uterine contraction and other perineal sutures. Patients at 12:55 on the same day appeared trembling, private chest tightness, shortness of breath, with a complexion