DIC患者全麻剖宫取胎及子宫次全切除术后阻塞性纤维气管假膜1例  

Obstructive fibrotracheal pseudomembranes after hysterectomy and subtotal hysterectomy under general anesthesia in a patient with disseminated intravascular coagulation:a case report

作　　者：周晋 邹小华 曾祥刚 吴金丽 李文谦 Zhou Jin;Zou Xiaohua;Zeng Xianggang;Wu Jinli;Li Wenqian(Department of Anesthesiology,Affiliated Hospital of Guizhou Medical University,Guiyang 550001,China)

机构地区：[1]贵州医科大学附属医院麻醉科,贵阳550001

出　　处：《中华麻醉学杂志》2020年第2期252-253,共2页Chinese Journal of Anesthesiology

摘　　要：患者,女性,25岁,因"孕31+2周,腹痛1 d,发现双死胎1 d"入院。无特殊既往史,查体:体重60 kg,体温36.4℃、HR91次/min、呼吸频率20次/min、BP102/68 mmHg(1 mmHg=0.133 kPa)。超声检查示双胎儿宫内死亡,胎盘与宫壁间不均回声团块。入院诊断:1.双死胎;2.胎盘早剥;3.失血性休克(失代偿期);4.弥散性血管内凝血(DIC)。立即拟行全麻下经腹子宫下段剖宫取胎术。

关 键 词：子宫次全切除术 胎儿宫内死亡 失血性休克 胎盘早剥 假膜 失代偿期 阻塞性 子宫下段 

分 类 号：R614[医药卫生—麻醉学]