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患者,28岁,第2胎,妊足月胎膜早破24小时,脐带脱垂半小时急诊入院。一般检查无异常,产科检查宫高70cm,腹围95cm,头高浮、胎心听不到,脐带脱出阴道外10cm。入院后产程进展顺利,自然分娩一男性死胎。死胎娩出后10分钟,阴道开始活动出血,虽经注射催产素等治疗无效。牵拉脐带感过紧,因活动性出血患者很快处于休克状态。经抗休克治疗,在加快输液和输血的情况下行手取胎盘术。术中探查胎盘外缘达宫颈外
Patient, 28 years old, 2nd child, premature rupture of membranes 24 hours pregnant, umbilical cord prolapse, emergency room admission for half an hour. General examination without exception, obstetric examination Gonggao 70cm, abdominal circumference 95cm, head floating, fetal heart can not hear, umbilical cord prolapse vagina 10cm. After admission, labor progressing smoothly, natural childbirth a male stillbirth. 10 minutes after the stillbirth is delivered, the vagina begins to move to hemorrhage, although the treatment of oxytocin is ineffective. Umbilical cord traction is too tight, due to active bleeding in shock in the state soon. After anti-shock treatment, in the case of accelerated infusion and blood transfusion underwent placental abortion. Intraoperative exploration of the outer edge of the placenta outside the cervix