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患者,女,25岁,回族,甘肃籍,因“产后阴道大量出血伴外阴脱出包块2小时”。患者既往月经规律,孕1产0,初产妇,产前检查情况不详,末次月经不详。节律性腹痛30小时,间隔30分钟发作一次,每次持续疼痛数十秒。于2小时前在家中分娩一女活婴,产时出血较多,产后1小时胎盘未娩出,接生者多次宫腔操作后,胎盘仍未娩出,随之外阴脱出一包块,阴道大量流血伴有血块,患者烦躁、神志模糊,未经
Patients, female, 25 years old, Hui, Gansu, due to “a large number of postpartum vaginal bleeding with vulvar prolapse 2 hours ”. Past menstrual patients with regular pregnancy 1 0, primipara, prenatal check unknown, the last menstrual unknown. Rhythmic abdominal pain for 30 hours, an interval of 30 minutes attack, each lasting tens of seconds of pain. 2 hours ago in the home childbirth a female childbirth, bleeding during labor more, 1 hour after delivery of the placenta was not delivered, the recipient after multiple uterine operation, the placenta has not yet delivered, along with the vulva prolapse mass, a large number of vaginal bleeding Accompanied by blood clots, patients irritability, confusion, without