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羊水栓塞是产科领域中少见而危险的并发症,而在剖宫产术中发生则更为少见。其特点为起病急,病情凶险,病死率高。 患者 女,35岁。孕39周临产,前次产有削宫产史。术前查体心肺未见异常,血压16/9kPa,心率84次,呼吸20次。血常规正常。拟硬膜外麻醉下行剖宫术。开放左上肢静脉后,左侧卧位L_(2-3)间隙行硬膜外穿刺,向头侧置管3cm,注入2％利多卡因和0.3％丁卡因等量混合液10ml,麻醉平面T_7以下。简易面罩吸氧,手术切开子宫体后数十秒钟,
Amniotic fluid embolism is a rare and dangerous complication in the field of obstetrics and less common in cesarean sections. It is characterized by acute onset, dangerous disease, high mortality. Female patient, 35 years old. Pregnancy 39 weeks of labor, the last history of producing Palace. Preoperative examination of heart and lung no abnormalities, blood pressure 16 / 9kPa, heart rate 84 times, breathing 20 times. Normal blood. Epidural anesthesia for cesarean section. After opening the left upper limb vein, the left lateral position L_ (2-3) gap epidural puncture to the head side of the catheter 3cm, injection of 2% lidocaine and 0.3% tetracycline mixture 10ml, anesthesia plane Below T_7. Simple mask oxygen, surgical incision uterus after dozens of seconds,