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1 病例报告患者25岁,孕2产1。因妊娠4月在外院水囊引产.17h后出现寒战发热.经催产素引产流产.产后胎盘半小时未剥离,行刮宫术,术后持续阴道流血2000ml,急转我院。入院时体温38.3℃,脉搏96/min,呼吸20/min,血压10.7/7.3kPa,面色苍白,口鼻腔均有血迹。宫底脐下3指,宫缩好,阴道持续少量流血,无凝血块。导尿呈酱油色,24h尿量217ml。实验室检查:血小板40×10~9/L,3P试验阳性,凝血酶原时间>40s,尿素氮22mmol/L,肌酐353～795μmol/L。按急性肾衰及DIC处理,应用
1 case report Patient 25 years old, 2 pregnancies. Due to pregnancy in April outside the hospital water bag induced abortion .17 h after chills fever induced by oxytocin abortion .Postpartum placenta did not peel for half an hour, curettage, continuous vaginal bleeding 2000ml, urgent hospital. Admission body temperature 38.3 ℃, pulse 96 / min, breathing 20 / min, blood pressure 10.7 / 7.3kPa, pale, both nose and mouth blood. Under the palace bottom umbilicus 3 fingers, contractions good, vaginal continued a small amount of bleeding, no clots. Catheterization was soy sauce color, 24h urine output 217ml. Laboratory tests: platelets 40 × 10 ~ 9 / L, 3P test was positive, prothrombin time> 40s, urea nitrogen 22mmol / L, creatinine 353 ~ 795μmol / L. According to acute renal failure and DIC treatment, application