患者32岁,第2胎,孕38+5周,入院前40 h行剖宫产, 手术顺利。入院前10 h,突然出现晕厥、发绀、四肢抽搐和低血压,给予多巴胺,5 min后意识恢复。诉呼吸困难、双侧季肋部不适,考虑心功能衰竭给予强心、利尿和扩血管药物治疗,无效。转入我院诊断肺栓塞收入呼吸科,产科协助诊治。体格检查:T 36℃,P 126次／min,R 35次／min,BP 80／50 mm Hg,SPO2 85％。神志欠清,轻度发绀。左肺呼吸音粗, 心率126次／min。下腹部正中纵行切口,无渗出、血肿或裂 Patients 32 years old, the second child, 38 +5 weeks of pregnancy, cesarean section 40 h before admission, the operation was smooth. 10 h before admission, sudden syncope, cyanosis, convulsions and hypotension in limbs, given dopamine, consciousness recovery after 5 min. V. Breathing difficulties, bilateral quarter ribs discomfort, consider cardiac failure given cardiac, diuretic and vasodilator drug therapy, invalid. Into our hospital diagnosis of pulmonary embolism income respiratory department, obstetrics to help diagnosis and treatment. Physical examination: T 36 ° C, P 126 breaths / min, R 35 breaths / min, BP 80/50 mm Hg, SPO2 85%. Consciousness is not clear, mild cyanosis. Left lung breath sounds rough, heart rate 126 beats / min. Lower abdominal midline longitudinal incision, no exudation, hematoma or fissure