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1病例资料患者,女,28岁,维吾尔族,因“妊娠35 d持续出现不规则流血,伴下腹部撕裂样疼痛”就诊于当地县人民医院,诊断为“输卵管妊娠破裂”。于急诊手术中给予O型Rh阳性全血,输至50 ml时突然出现高热(39.8℃)、胸痛、持续性呼吸困难、酱油样尿,考虑为输血后溶血反应,及时针对性治疗,仍反复出现酱油样尿,尿量明显减少。于5 d后因急性肾功能衰竭转入我院。查体:T 37.2℃,R 20次/min,BP14/7 kPa,律齐,第一心音稍亢进,急性病容,表情痛苦,结膜
1 Case data Patients, female, 28 years old, Uygur, due to “irregular bloodshed 35 days of pregnancy, accompanied by abdominal tear-like pain ” Visit the local county People’s Hospital, diagnosed as "tubal pregnancy rupture . O-type Rh-positive whole blood was given during emergency surgery. Sudden high fever (39.8 ° C), chest pain, persistent dyspnea, and soy-like urine in the case of an infusion of 50 ml were considered repeated transfusion-induced hemolysis and prompt targeted therapy Appeared soy sauce-like urine, urine output decreased significantly. After 5 days, acute renal failure was transferred to our hospital. Physical examination: T 37.2 ℃, R 20 times / min, BP14 / 7 kPa, law Qi, the first heart sound a little hyperthyroidism, acute disease, facial expression pain, conjunctiva