CAJ | 학술논문

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（130～140 mg· 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。
목적：분석무통인류술후엄중불량반응적원인，위림상방치제공삼고。방법분석인류술후3례발생엄중불량반응환자적림상자료급감측결과。결과3례인류환자마취균용분태니（0.05 mg · kg-1）정맥입호，병박분（130～140 mg· kg-1）정맥추입，기육주사축궁소10단위。환자균표현위수액반응증상，균유외한、발열、악심、구토、저혈압급다기관공능손해，외주혈백세포（ WBC ）화중성립세포（ N）현저증고，휴극발생재술후0.5～4 h。결론수액후소치엄중불량반응증상위중，조기정학진단、합리치료시창구성공적관건。
Objective To analyze the causes of severe adverse reaction after painless abortion and to offer some advices for prevention and cure.Methods Clinical files and results of 3 patients with severe adverse re-action after painless abortion were analyze.Results Total of 130-140 mg· kg -1 propofol intravenous injection and oxytocin 10 u intramuscular injection was used in three patients underwent painless abortion.Three patients have the symptoms of chills , fever , nausea , vomiting , low blood pressure , damages of multiple organs and elevation of peripheral white blood cell and neutrophilic granulocyte.The shock occurred within 0.5-4 h after operation.Conclusion The symptoms of severe adverse reac-tion after transfusion are very serious.Early diagnosis and rational man-agement are the key to the successful salvage.