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

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。