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于某某,39岁,G3P1L1。因妊娠50天于1999年2月1日在当地计划生育技术指导站行药物流产。口服米索4小时后阴道排出2.5cm×2.5cm×2.5cm之绒毛组织,阴道流血量多,是以往月经量的2倍,经肌注催产素20U后阴道流血减少,持续4～5天自行终止。1999年3月2日晨起后无诱因阴道流血,色暗红,伴有血块及小腹阵发性坠胀痛,血块排出后腹痛缓解,量同月经,持续2天净,净后1天到当地计划生育技术站放置T型宫内节育器,手术顺利,无不适感。置器后阴道出血较多,同月经量,暗红色,10小时后突然阴道大出血,色鲜红,有大量血块,未见明显烂肉样组织,伴阵发性下腹坠胀痛,次晨到原手术单位就诊,给予取器,并肌注催产素10U,取器后观察3小时阴道流血不见减少,伴头晕,遂来我站。查体:重度贫血貌,精神不振,神志清,T36℃,BP10/7kPa,心音低钝,双肺(-),腹软,肝脾未触及,腹膜刺激征(-),移动性浊音(-)。妇科检
Yu Moumou, 39 years old, G3P1L1. Because of pregnancy 50 days in February 1, 1999 in the local family planning technical guidance station drug abortion. Oral misoprostol 4 hours after vaginal discharge 2.5cm × 2.5cm × 2.5cm villous tissue, vaginal bleeding amount is 2 times the previous menstrual flow, by intramuscular oxytocin 20U vaginal bleeding reduced for 4 to 5 days on their own termination. March 2, 1999 morning after no incentive vaginal bleeding, dark red, accompanied by blood clots and lower abdomen paroxysmal bulge pain, discharge of blood clots ease, the same amount of menstruation, lasting 2 days net, 1 day after the net Local family planning technology station placed T-IUD, the operation was smooth, no discomfort. Posterior vaginal bleeding after the device, with the amount of menstruation, dark red, 10 hours after a sudden vaginal bleeding, red color, a large number of blood clots, no obvious rotten tissue, with paroxysmal lower abdomen falling pain, the second morning to the original Surgery unit treatment, given to take the device, and intramuscular oxytocin 10U, observed after 3 hours of vaginal bleeding to reduce, with dizziness, then come to my station. Examination: severe anemia, depression, delirious, T36 ℃, BP10 / 7kPa, low heart sound dull, lung (-), abdominal soft, liver and spleen not touched, peritoneal irritation sign (-), ). Gynecological examination