论文部分内容阅读
患者28岁,1990—10—31在当地医院因胎盘老化及羊水少行剖宫手术。术后持续性阴道流血伴腰酸及下腹部阵发性疼痛达4个月之久,于1991—03—05收入我院,拟诊:剖宫产术后阴道流血待查。检查:体温36.8℃,脉搏90次,血压14/10kPa,贫血貌,浅表淋巴结无肿大,心、肺听诊正常,腹部平软,肝脾未触及。下腹部有8cm手术瘢痕,愈合好。于耻骨联合上方可触及肿块,质地硬,有压痛,无反跳痛。妇科检查:外阴正常,宫口呈未产型、光滑,并可见血性分泌物,宫颈管长2cm(宫口松),宫体妊娠3个月大小,质硬,右侧角突出,压痛阳性,双侧附件未触及异常。实验检查:血红
Patient 28 years old, 1990-10-31 at the local hospital due to placental aging and oligohydramnios cesarean section surgery. Postoperative persistent vaginal bleeding with backache and lower abdominal paroxysmal pain for 4 months, in 1991-03-05 income in our hospital, proposed diagnosis: vaginal bleeding after cesarean delivery pending investigation. Check: body temperature 36.8 ℃, pulse 90, blood pressure 14 / 10kPa, anemia appearance, superficial lymph nodes without swelling, heart, lung auscultation normal, flat abdomen, liver and spleen not touched. The lower abdomen has 8cm surgical scar, healing well. Above the pubic symphysis palpable mass, hard texture, tenderness, no rebound tenderness. Gynecological examination: normal vulva, uterine cervix did not produce type, smooth, and visible bloody discharge, cervical canal length 2cm (cervix pine), Palace body size of 3 months of pregnancy, hard, prominent right corner, tenderness positive, Bilateral accessories did not touch the exception. Experimental test: blood red