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患者刘××,女,43岁。因停经3个月要求中止妊娠,于1984年4月3日入院。既往有高血压史,孕6产4,月经周期正常,末次月经1984年1月3日。入院当天晚上,于宫腔插入导尿管一根。次日上午9时行钳刮术,历时15分钟。术中发现子宫收缩欠佳,经肌注催产素20单位,同时静脉推注催产素10单位后好转,刮出胚胎组织约100克,出血约100毫升。术后小腹部胀痛,无阴道流血,上午11时,腹痛加剧,出冷汗,头晕,眼花,面色苍白,血压70/40毫米汞柱,宫底脐下3指,阴道未见流血,立即静脉注射高渗葡萄糖、输液、输血,同时静脉推注催产素。考虑为子宫收缩乏力,可能合并部分胎盘残
Liu × × patients, female, 43 years old. She was admitted to hospital on April 3, 1984 after having stopped her pregnancy for 3 months. Past history of hypertension, pregnancy 6 4, normal menstrual cycle, the last menstrual January 3, 1984. On the night of admission, insert a catheter in the uterine cavity. The next day at 9:00 forceps curettage, which lasted 15 minutes. Intraoperative findings of poor uterine contractions, oxytocin by intramuscular injection of 20 units, while intravenous oxytocin 10 units improved, scraped embryo tissue about 100 grams, about 100 ml of bleeding. Postoperative abdominal pain, no vaginal bleeding, 11 am, abdominal pain intensified, a cold sweat, dizziness, vertigo, pale, blood pressure 70/40 mm Hg, under the uterus 3 fingers, vaginal bleeding, immediate venous Hypertonic glucose injection, infusion, blood transfusion, while intravenous oxytocin. Consider the uterine contraction of fatigue, may be part of the merger of placental remnants