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患者35岁,住院号37053。因过期妊娠于1985年9月30日入院待产。检查:宫底剑突下三指,儿头下方,已入盆。胎方位LOA。骨盆外测量各径线正常,胎心音128次/分。因高龄初产,过期妊娠,滞产,于入院后15天行子宫下段剖宫产术。术中胎儿娩出时撕裂右子宫动脉,当即连同切口缝扎止血。术后阴道不断流出鲜血和血块,致急性失血性休克。术后4小时,再次手术探查结扎子宫动脉止血,术中两次呼吸心跳骤停,经抢救复苏。术中输血900ml,术后患者曾一度重度贫血,血红蛋白30～40g/L。后经积极对症治疗,痊愈出院。
Patient 35 years old, hospital number 37053. Due to expired pregnancy on September 30, 1985 admission to be produced. Check: Palace under the sword protruding three fingers below the child, has been into the basin. Tire orientation LOA. Outside the pelvis measuring the normal diameter, fetal heart sound 128 times / min. Due to advanced primiparous, overdue pregnancy, prolonged labor, 15 days after admission, the lower uterine segment cesarean section. Intraoperative fetal tears when the right uterine artery was delivered, immediately with the incision suture to stop bleeding. After the vaginal discharge of blood and blood clots, acute hemorrhagic shock. 4 hours after surgery, surgical exploration again ligation of the uterine artery to stop bleeding, intraoperative respiratory arrest, resuscitation. Intraoperative blood transfusion 900ml, postoperative patients had severe anemia, hemoglobin 30 ~ 40g / L. After positive symptomatic treatment, discharged.