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患者女,23岁。住院号7372。因停经三个半月诊断妊娠,要求人工流产入院。该患既往有癫痫病史。检查:发育营养良好,心肺未见异常。BP120/60,子宫如孕13～15周大小,双侧附件无异常,阴道清洁度Ⅱ°。辅助检查:血常规、肝功、心电图及胸透均正常。入院后第二天下午在无菌操作下,于宫腔内放置静水囊一个,囊内注入生理盐水250ml。次日上午取出水囊行钳刮术,因术中出血较多,肌注催产素10u,5分钟后,病人突然惊叫,言语吐字不清,四肢抽搐,口唇发绀,呼吸急促,继而昏迷。当时诊断为癫痫发作,马上停止手术。测血压0,脉搏细弱不清,注射洛贝林,可拉明各一支,急请内科医生检查:两肺布满干湿性罗音,并有心房纤颤,此时病人呼吸极度困难,当即静脉点滴低分子右旋糖酐,25％葡萄糖60ml,氢化可的松100mg,西地兰0.2mg,杜冷丁
Female patient, 23 years old. Hospital number 7372. Due to menopause diagnosis of three and a half months of pregnancy, abortion admitted to hospital. The suffering from a history of epilepsy. Check: well-developed nutrition, no abnormal heart-lung. BP120 / 60, uterus, such as 13 to 15 weeks pregnant size, no abnormal bilateral attachment, vaginal cleanliness Ⅱ °. Auxiliary examination: blood, liver function, ECG and chest X-ray are normal. The next afternoon after admission in aseptic operation, placed in the uterine cavity of a hydrostatic balloon, saline into the balloon 250ml. The next morning, remove the bladder pliers curettage, due to intraoperative bleeding more, intramuscular oxytocin 10u, 5 minutes later, the patient suddenly screamed, speech articulation unclear, limbs convulsions, lips cyanosis, shortness of breath, and then coma. At that time diagnosed as seizures, stop surgery immediately. Measuring blood pressure 0, pulse faint, injection of Lobeline, Clarin each one, urgently ask the physician to check: both lungs covered with wet and dry rales, and atrial fibrillation, the patient was extremely difficult to breathe, Immediate intravenous drip low molecular weight dextran, 25% glucose 60ml, hydrocortisone 100mg, cedilanid 0.2mg, dolantin