论文部分内容阅读
患者28岁,孕1产0,孕40周,于1996年7月11日入院待产,入院第7天胎吸引分流一男婴,体重3500克,阿氏评分7分。产时会阴左侧侧切伤口向阴道内延伸3cm,右侧阴道壁撕伤约3cm,用2个0#肠线常规缝 合,常规使用抗生素预防感染。产后子宫复旧良好,无发热。产后第6天突然出现阴道大出血约200ml,鲜红色,立即作阴道检查,见阴道右侧壁原伤的肠线缝合处有活动性出血,用肠线缝扎止血。产后第7天再次出现阴道出血约200～300ml。检查所见阴道壁左侧壁中段有活动性出血,仍用肠线给予缝合。产后第13天又发生第三次阴道出血约400ml,再次阴道探查见阴道左侧壁中段肠线脱落,有活动性出血。
The patient was 28 years old, pregnant and 1 producing 0, pregnant 40 weeks, admitted to hospital on July 11, 1996 to be produced, on the 7th day of admission, the fetus absorbed a baby, weighing 3,500 grams and averaging 7 points. During delivery, the left side of the perineal incision to extend the wound to the vagina 3cm, the right vaginal wall tear about 3cm, with 2 0 # gut routine suture routine use of antibiotics to prevent infection. Postpartum uterine good old, no fever. Postpartum 6 days suddenly appeared about 200ml of vaginal bleeding, bright red, immediately for vaginal examination, see the original right vaginal wall of the vaginal sutures at the active bleeding, sutures stop bleeding. Postpartum vaginal bleeding on the first 7 days about 200 ~ 300ml. Check the vaginal wall to see the middle of the left side of the wall with active bleeding, suture still suture. Third postpartum vaginal bleeding occurred again on the thirteenth day about 400ml, vaginal exploration once again see the middle of the left wall of the vaginal gut shedding, active bleeding.