论文部分内容阅读
患者,35岁,孕39周。因无痛性阴道出血12天,大出血后11h于1991年1月23日急诊入院。神清,轻度贫血貌,T37.4℃,P90次/min,R20次/min,BP20/14kPa,心肺正常。产检:宫高31cm,腹围83cm,胎方位LOA,头先露,浮,胎心148次/min。腹壁张力稍大,两侧壁深压痛。阴道内有积血块约50g,宫口未开,穹隆饱满。血、尿常规均正常。拟诊:前置胎盘,妊高征。即行剖宫产,术中见腹腔内有血性腹水约100ml,子宫下段右侧壁血管稍充盈,行下段横切口,人工破膜,羊水呈Ⅱ°污染,取出一活男婴,体重3400g。于子宫肌层注射催产素20u,麦
Patient, 35 years old, 39 weeks pregnant. Due to painless vaginal bleeding for 12 days, 11h after bleeding in January 23, 1991 emergency admission. God clear, mild anemia appearance, T37.4 ℃, P90 times / min, R20 times / min, BP20 / 14kPa, normal heart and lung. Birth control: Palace height 31cm, abdominal circumference 83cm, fetal position LOA, first dew, floating, fetal heart rate 148 times / min. Slightly larger abdominal wall tension, deep pain on both sides of the wall. Vagina has a clot of about 50g, cervix is not open, dome full. Blood, urine routine are normal. Diagnosed: placenta previa, PIH. That cesarean section, intraoperative see intraperitoneal bloody ascites about 100ml, lower right uterine segment of the right wall of blood vessels slightly filling the lower line of transverse incision, artificial rupture of membranes, amniotic fluid was Ⅱ ° contamination, remove a live baby boy, weighing 3400g. In the myometrium injection of oxytocin 20u, wheat