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羊水栓塞是产科严重的并发症,产妇死亡率极高,超过80%。从国内外资料报导,本病多发生在足月分娩过程,而发生在妊娠中期引产钳刮术者极为少见,最近我院在中期妊娠引产钳刮术中发生2例,经抢救后均获痊愈出院,现报导如下,并结合文献对有关诊断及处理问题进行讨论。病例报告例1 彭××,37岁,6孕4产,本次因妊娠3月余,要求人工流产,于1975年2月17日入院。体检:发育营养中等,血压及体温正常;心界向右扩大,心尖区有Ⅲ级收缩期吹风样及Ⅲ级舒张期雷鸣样
Amniotic fluid embolism is a serious complication of obstetrics, maternal mortality is extremely high, more than 80%. Data from domestic and foreign reports, the disease occurred in the full term delivery process, but occurred in the second trimester induction of induction forceps curettage is extremely rare, recently in our hospital induced abortion clamp curettage occurred in 2 cases, after treatment were cured Discharge, are reported as follows, combined with the literature on the diagnosis and treatment issues are discussed. Case report 1 Peng × ×, 37 years old, 6 pregnant 4, the pregnancy more than 3 months, abortion, on February 17, 1975 admission. Physical examination: the development of moderate nutrition, normal blood pressure and body temperature; the heart to the right to expand, apical area has a syphilis-type and type Ⅲ diastolic thunderstorm-like