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患者22岁,住院号:13331,孕1产0,妊娠36周,腹痛3天,于1987年11月10日入院。平素体健,月经正常,孕期经过顺利。入院前3日突感腹部疼痛,以上腹明显,呈持续性且阵发性加剧,伴恶心、呕吐、阴道有少许出血,无阴道流水及腹坠感。发病前无外伤史。检查:P:94次/分,BP:16～9.3Kpa.贫血外貌.痛苦面容,心肺无病理闻及,腹部膨隆,腹肌紧张,全腹压痛、反跳痛,上腹部明显,移动性浊音叩击不满意,子宫轮廓及胎位不清,胎心消失,外阴有血迹,宫口开了3cm,先露足。“B”超提示:胎盘早剥、死胎。入院当日在持续硬膜外麻醉下行剖腹探查术,术中见子宫壁
Patient 22 years old, hospital number: 13331, pregnancy 1, 0, 36 weeks of pregnancy, abdominal pain for 3 days, on November 10, 1987 admitted. Normal physical health, normal menstruation, passed well during pregnancy. 3 days before admission, sudden sensation of abdominal pain, with a clear upper abdomen, was persistent and paroxysmal aggravated, with nausea, vomiting, vaginal bleeding a little, no vaginal fluid and abdominal fall flu. No history of trauma before onset. Check: P: 94 beats / min, BP: 16 ~ 9.3Kpa. Anemia appearance. Painful face, heart and lung disease-free information, abdominal bulging, abdominal muscle tension, abdominal tenderness, rebound tenderness, Not satisfied with the tapping, uterine contours and fetal position is unclear, disappearance of fetal heart rate, blood in the vulva, cervix opened 3cm, first exposed foot. “B” Super Tip: placental abruption, stillbirth. The day of admission in continuous epidural anesthesia laparotomy exploration, intraoperative uterine wall