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目的分析无痛人流术后严重不良反应的原因,为临床防治提供参考。方法分析人流术后3例发生严重不良反应患者的临床资料及监测结果。结果3例人流患者麻醉均用芬太尼(0.05 mg·kg-1)静脉入壶,丙泊酚(130~140mg·kg-1)静脉推入,肌肉注射缩宫素10单位。患者均表现为输液反应症状,均有畏寒、发热、恶心、呕吐、低血压及多器官功能损害,外周血白细胞(WBC)和中性粒细胞(N)显著增高,休克发生在术后0.5~4 h。结论输液后所致严重不良反应症状危重,早期正确诊断、合理治疗是抢救成功的关键。
Objective To analyze the causes of serious adverse reactions after painless abortion and provide reference for clinical prevention and treatment. Methods The clinical data and monitoring results of 3 patients with serious adverse reactions after abortion were analyzed. Results The anesthesia in 3 cases of patients were intravenously injected with fentanyl (0.05 mg · kg-1) and propofol (130 ~ 140 mg · kg-1). 10 units of oxytocin were injected intramuscularly. All patients showed symptoms of infusion reaction. All of them had chills, fever, nausea, vomiting, hypotension and multiple organ dysfunction. WBC and neutrophil (N) were significantly increased. Shock occurred in 0.5 ~ 4 h. Conclusion Serious adverse reactions caused by infusion of the critical symptoms early diagnosis, rational treatment is the key to the success of the rescue.