1　病例简介女性 ,2 5岁 ,因双侧下颌角咬肌肥大 ,于我院整形科行双侧下颌角咬肌整复术 ,术中出现手术创面大量渗血 ,量约 40 0 0ｍｌ,全身皮肤出现瘀斑点 ,并出现阴道流血 ,血压下降至 5 0 / 30ｍｍＨｇ,术后即转入ＩＣＵ病房。患者入急救科时呈昏迷状态 ,经鼻气管插管、呼吸 1 case description Female, 25 years old, bilateral masseter due to bilateral masseter hypertrophy, orthopedic surgery in our hospital bilateral mandibular angle masseter muscle surgery, a large number of intraoperative bleeding wound surgery, the amount of about 40 0 ​​0ml, the whole body The skin appears bruises, and vaginal bleeding, blood pressure dropped to 50 / 30mmHg, after surgery into the ICU ward. Patients into the emergency department was coma, nasal tracheal intubation, breathing