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患者37岁,农民,住院号88—583。孕6产5妊娠28周。因近日较劳累,于凌晨4时出现阵发性腹痛,9时在去医院途中娩出一女婴,婴儿娩出片刻即死亡。当时产妇流血较多,并觉乏力、头晕。送至当地医院行手取胎盘术及钳刮术,术者疑子宫穿孔转至县医院。门诊未详细询问病情,就以“胎盘滞留”收住院。入院检查:T36.5℃,P120次/分,BP60/30mmHg。一般状况极差,面色苍白,四肢冰冷。心肺听诊未见异常。子宫底脐下一指,有压痛,无反跳痛,未扣出移动性浊音,肠
Patient 37 years old, farmer, hospital number 88-583. Pregnancy 6 5 Pregnancy 28 weeks. Due to the recent exertion, paroxysmal abdominal pain occurred at 4 a.m., and at 9 a.m., a baby girl was delivered on her way to the hospital. The infant died a moment later. Maternal bleeding was more, and feel fatigue, dizziness. Sent to the local hospital line hand take placenta accreta and forceps curettage, who suspected uterine perforation go to the county hospital. Outpatient did not ask for details of the condition, to “stay in the placenta” admitted to hospital. Admission examination: T36.5 ℃, P120 beats / min, BP60 / 30mmHg. Very poor general condition, pale, limbs cold. Cardiopulmonary auscultation no abnormalities. Under the uterus at the end of the uterus refers to a tender, no rebound pain, did not deduct the mobility dullness, intestines