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患者32岁,孕2产1,因妊娠40周,有不规则宫缩伴见红,预产期于1983年3月1日上午7时入院待产。妊娠27周时因阴道出血诊断为先兆流产而住院。未做妇科检查,观察5天未见继续出血而出院。入院时检查,宫底脐上5指,胎位右枕前,胎心率132次/分,先露半固定,见红,未破水,双下肢无浮肿,骨盆正常,有不规则宫缩,肛查宫口未开。次日上午10时因无规则宫缩,行人工剥膜引产,宫颈扩张1cm。下午2时突然发现阴道有多量出血,伴有血块,约
Patients 32 years old, 2 pregnant 1, due to 40 weeks of pregnancy, with irregular contractions with red, the expected date of March 1, 1983 at 7 am admitted to hospital. 27 weeks of pregnancy because of vaginal bleeding was diagnosed as threatened abortion and hospitalization. No gynecological examination, no bleeding observed for 5 days and discharged. Check on admission, the uterus 5 fingers on the uterus, fetal right occipital, fetal heart rate 132 beats / min, first exposed half fixed, see the red, not broken water, no swelling of the lower extremities, pelvic normal, irregular contractions, anal Check the palace entrance is not open. At 10 o’clock the next day due to irregular contractions, artificial peel abortion, cervical dilatation 1cm. 2 o’clock suddenly found a large number of vaginal bleeding, accompanied by blood clots, about