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患者,女,28岁。因计划外妊娠7月余住院引产。既往体健,无药物过敏史。入院后常规及妇科体检,均来见异常后,进行雷佛奴尔常规剂量子宫羊膜腔注射引产。注药毕拨针后,站立时即跌倒,口面青紫,意识丧失,心跳呼吸停止。立即行口对口呼吸,胸外心脏按压,并肾上腺素、山梗菜碱、尼可刹米各1支、氟美松20mg静注,4分钟后心跳恢复,自主呼吸建立,脉搏扪不到,血压4/0kPa,当即给低分子右旋糖酐300ml快速静滴,继予40％多巴胺每分钟60滴;2小时后,血压9/5kPa,并从另一开放静脉给5％碳酸氢钠200ml;3小时后血压12/8kPa,面色微红,四肢转温,有躁动,生
Patient, female, 28 years old. Due to unplanned pregnancy in July more than abortion. Past physical health, no history of drug allergy. Routine and gynecological examination after admission, both to see the exception, the routine dose of Levu Hual uterine amniotic injection of labor. After injecting the medicine, you fall down when standing, bruising and loss of consciousness, and your heart and lungs stop breathing. Immediate mouth port breathing, chest cardiac pressure, and epinephrine, lobapropine, nikethamide each one, dexamethasone 20mg intravenous injection, 4 minutes after the heartbeat recovery, spontaneous breathing established, the pulse palpable, blood pressure 4 / 0kPa, immediately give low molecular weight dextran 300ml rapid intravenous infusion, followed by 40% dopamine 60 drops per minute; 2 hours later, blood pressure 9 / 5kPa, and from another open intravenous infusion of 5% sodium bicarbonate 200ml; 3 hours later Blood pressure 12 / 8kPa, looking reddish, limbs warm, restless, students