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患者25岁,住院号343.停经80~+天,要求人工流产,于1989年9月18日入院.查体:T36.5℃,P98次/分,R21次/分,Bp15.0/10.0kPa.心肺正常,腹软,肝脾未触及.子宫似80天妊娠大小,血尿常规无异常.于当日下午3时常规清毒下自阴道置管注射0.25%利凡诺30ml.次日9时20分在外阴消毒下行钳刮术,用卵圆钳夹出胎儿胎盘组织约40g,出血20ml 左右.术后患者呻吟不止,腹痛发冷,烦躁不安,口腔牙龈可见少量渗血,立即采用镇静止痛,补液抗感染等治疗,但病情迅速恶化,经抢救无效,
Patient 25 years old, hospital number 343. Menopause 80 ~ + days, abortion, admitted on September 18, 1989. Physical examination: T36.5 ℃, P98 beats / min, R21 beats / min, Bp15.0 / 10.0 kPa. Cardiopulmonary normal, abdominal soft, liver and spleen did not touch the uterus, like the size of 80 days of pregnancy, hematuria routine no abnormalities at 3 pm on the same day routine detoxification from the vaginal catheter 0.25% rivanol 30ml 9:00 the next day 20 points in the vulva disinfection descending forceps curettage, with the oval clamp placenta fetal tissue of about 40g, about 20ml bleeding patients after groaning, abdominal pain, irritability, oral gingival visible a small amount of bleeding, the immediate use of sedation pain , Rehydration anti-infection treatment, but the condition deteriorated rapidly, the rescue fails,