患者女,住院号2251,37岁,第六胎孕70~+天,在我院门诊作葡萄糖宫腔注射钳刮术,术后阴道流血不止收入院。入院检查:血压130/86毫米汞柱,脉博80次/分,阴道流血不止,无血块,血流出后亦无凝固现象。妇检:子宫大如2~+月孕,软,立即给予输液,宫缩剂、止血剂、肌注乙菧酚,再次清宫,清出胎盘组织约20克,流血不止,宫腔填塞纱条,仍流血不止,流出的血无凝固现象。反复静脉注射止血芳酸,肌注维K及安络血,宫颈注及肌注催产素,麦角,注射过钙剂,氢可,吗啡,输全血710毫升,阴道仍流血不止,取出官腔纱条,又作宫腔填塞纱条,亦无好转,当时血压90/60毫米汞柱,脉博100次/分,有力,阴道流血不止仍无凝固现象,再次取出宫腔纱条,重填入熏酒精及止血粉之纱条,流血 Female patient, hospital number 2251,37 years old, the sixth pregnancy 70 ~ + days, in our hospital for glucose intrauterine injection forceps curettage, postoperative vaginal bleeding more than income hospital. Admission examination: blood pressure 130/86 mm Hg, pulse Bo 80 times / min, vaginal bleeding more than no blood clots, no coagulation after blood flow out. Fetal examination: the uterus is as large as 2 ~ + month pregnancy, soft, immediately given infusion, uterine contractions, hemostatic agents, intramuscular acetaminophen, again Qing, clear placenta tissue about 20 grams, bleeding more than, , Still bleeding, the phenomenon of blood coagulation. Repeated intravenous injection of hemostatic aromatherapy, intramuscular injection of vitamin K and the safety of blood, cervical injection and intramuscular oxytocin, ergot, over-calcium injection, hydrogen, morphine, transfusion of whole blood 710 ml, the vagina is still bleeding, remove the bureaucratic yarn Article, also for the uterine packing gauze, no improvement, when the blood pressure 90/60 mm Hg, pulse Bo 100 times / min, strong, more than vaginal bleeding still no solidification phenomenon, again remove the uterine sliver, re-fill Smoked alcohol and hemostatic gauze, bleeding