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黄某,女,48岁。因死胎,前置胎盘并大出血,于1985年3月29日首次入院。末次月经为84年7月上旬,停经五个月始偶有阴道出血,能自止。因再次出血一天,伴大量血块,气紧,腰痛入院。既往足月妊娠8次,自然流产一次,否认阴道手术史。体检:神志清楚,面色苍白,体温36.5℃,心率128次/分,血压90/60mmHg。宫底脐上二指,未闻及胎心音。阴道可触及柔软的胎盘样组织隔于儿头之间。实验室检查:Hb4.78％,PC13万/mm~3,BT2分钟,CT2分钟。住院给予支持治疗及胎儿头皮牵引术,顺利经阴道
Hwang, female, 48 years old. Due to stillbirth, placenta previa and bleeding, the first hospital on March 29, 1985. The last menstrual period of 84 years in early July, menopause five months occasionally vaginal bleeding, can stop. Due to another day of bleeding, with a large number of blood clots, tight gas, low back pain hospitalization. Past full-term pregnancy 8 times, a spontaneous abortion, denied the history of vaginal surgery. Physical examination: conscious, pale, temperature 36.5 ℃, heart rate 128 beats / min, blood pressure 90 / 60mmHg. Palace umbilical second finger, did not smell and fetal heart sound. Vaginal palpable soft placenta-like tissue separated between the child’s head. Laboratory tests: Hb4.78%, PC13 million / mm ~ 3, BT2 minutes, CT2 minutes. Inpatient support and treatment of fetal scalp traction, smooth transvaginal