33卷4期疑难病案讨论选登

发布时间：2018-01-29 16:31

本文关键词： 疑难病案讨论指端发绀胎儿双顶径羊膜腔内注射宫口开全依沙吖啶胎心搏动羊水栓塞产科检查宫内死胎 　出处：《实用妇产科杂志》2017年08期 　论文类型：期刊论文

【摘要】：正刘巧玲(云南省昆明市寻甸五洲医院,云南昆明655200)1诊断羊水栓塞(AFE);弥散性血管内凝血(DIC)2诊断依据及分析诊断依据:(1)患者25岁,G_1P_0,孕31~(3+)周,发现胎儿死亡1天。(2)产科检查宫高22 cm,腹围86 cm。(3)B超检查示胎儿双顶径86 cm,股骨长5.1 cm,胎儿未见确切胎心搏动。提示宫内死胎。血常规:Hb 100 g/L。(4)入院后给予口服米非司酮配伍依沙吖啶羊膜腔内注射引产。(5)于宫口开全时,出现胸闷,神情淡漠、面色苍白、大汗淋漓、口唇及指端发绀,心率121/
[Abstract]:Liu Qiaoling (Xundian Wuzhou Hospital, Kunming, Yunnan Province, Kunming 655200), diagnosis of amniotic fluid embolism (AFE); The diagnosis and analysis of disseminated intravascular coagulation (DIC2) were based on the age of 25 years old patients with G1P _ (0) and gestation of 31 cases (3) weeks of gestation. It was found that the fetal death was 1 day. 2) the height of the uterus was 22 cm, the abdominal circumference was 86 cm. The abdominal circumference was 86 cm, and the femur length was 5.1 cm. The fetal biparietal diameter was 86 cm and the femur length was 5.1 cm. Fetal heart pulsation is not definite. It suggests intrauterine stillbirth. Routine blood routine: 100 g / L 路L. 4) after admission, mifepristone combined with ethacridine is given intramally to induce labor. Full time at the mouth of the palace. Chest tightness, indifference, pale complexion, sweating, cyanosis of lips and fingertips, heart rate 121 /
【分类号】：R714
【正文快照】： 刘巧玲(云南省昆明市寻甸五洲医院,云南昆明655200)1诊断羊水栓塞(AFE);弥散性血管内凝血(DIC)2诊断依据及分析诊断依据:(1)患者25岁,G1P0,孕31+3周,发现胎儿死亡1天。(2)产科检查宫高22 cm,腹围86 cm。(3)B超检查示胎儿双顶径86 cm,股骨长5.1 cm,胎儿未见确切胎心搏动。提示

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