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患者30岁,住院号735,1987年4月16日入院。末次月经1987年2月28日。于24岁结婚,婚后曾孕5次,均在妊娠12～17周时自然流产。末次妊娠16周时曾在某医院行宫颈缝合术,术后半个月,因缝合线感染造成自然流产。妇科检查:外阴、阴道经产型,宫颈光滑,着色(+),内口松弛可容纳1指。子宫前位鸭卵大,软,双附件区未触及异常。治疗:入院后经镇静、保胎治疗,于17孕周时行改良宫颈环扎术。术后抗感染、镇静治疗3天,患者无任何不适感,于38孕周时拆除缝合线,择期行子宫下段剖宫产术,分娩3200g一男活婴。方法:取10号丝线2条,大号角针和直径0.2cm、长0.5cn 硅橡胶管四段,消毒备用。术前肌注杜冷
Patient 30 years old, hospital number 735, April 16, 1987 admission. The last menstruation February 28, 1987. At the age of 24 married, pregnant and pregnant 5 times, all in the 12 to 17 weeks of pregnancy spontaneous abortion. 16 weeks after the last pregnancy in a hospital cervical suture, half a month after surgery, due to suture infection caused by spontaneous abortion. Gynecological examination: vulva, vagina by the type, cervical smooth, colored (+), the inner mouth can accommodate a relaxation of 1 means. Prenatal duck eggs large, soft, double attachment area did not touch the exception. Treatment: After admission by the sedation, miscarriage treatment, in the 17th week of pregnancy when cervical ring cerclage improved. Postoperative anti-infective, sedative treatment for 3 days, the patient without any discomfort, removal of sutures at 38 weeks of gestation, elective cesarean section under the uterus, childbirth 3200g a male. Methods: Take No. 2 silk 2, large horn needle and diameter 0.2cm, length 0.5cn silicone rubber tube four, disinfection reserve. Preoperative intramuscular injection of cold