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超常扩容抢救术中大出血1例

蒋家启,程戌春, 卫燕,汪洪, 汪士安

JOURNAL OF HANDAN MEDICAL COLLEGE（2004）

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Abstract
1 病例介绍 患者男,58岁,体重75.5kg,因复发性膀胱癌行全膀胱切除,回肠代膀胱术.术前检查彩超报告为左右心房扩大,退行性心瓣膜病变(二尖瓣狭窄及反流).连续硬膜外麻醉,T11～12及L2～3间隙穿刺,分次注入局麻药20分钟后测麻醉平面为T8～L5,上午9∶30开始手术,术中发生意外大出血而改全麻,至下午9时结束时,将近12个小时内,数次出血量共达8500ml以上.
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