论文部分内容阅读
患者,40岁,孕4产3,孕80天于1987年5月在当地卫生院行人工流产术。子宫水平位,活动,双附件正常。宫腔深12cm,用8号吸管,73.3kPa压力电吸及钳夹,吸出胚胎及胎盘组织80~100g左右,子宫收缩欠佳,给宫颈注射催产素10~U将子宫复位,术中出血约50ml,术后腹痛逐渐减轻后回家。术后3小时受术者自觉小腹胀痛难忍来我院。查体急性痛苦表情,血压,脉搏正常,腹部可触及增大的子宫,宫底脐耻之间,压痛明显,移浊(—)。诊断:人流术后急性宫腔积血,立即行清宫术,见宫口紧闭宫腔深16cm,宫腔扩张至10号,
Patients, 40 years old, pregnant and 4 pregnant 3 days 80 days pregnant in May 1987 in the local abortion abortion. Uterine level, activity, dual attachment normal. Uterine cavity depth 12cm, with a No. 8 straw, 73.3kPa pressure electroextraction and clamping, aspiration of embryos and placental tissue about 80 ~ 100g, poor uterine contractions, to the cervix oxytocin 10 ~ U uterine resection, intraoperative bleeding 50ml, abdominal pain gradually reduced after the return home. 3 hours after surgery by the patient consciously abdominal pain was unbearable to our hospital. Acute painful facial expression, blood pressure, normal pulse, the abdomen can reach increased uterus, palace umbilical shame between the obvious tenderness, shifting turbidity (-). Diagnosis: abortion after acute uterine bleeding, curettage immediately line, see the uterine cervix closed deep 16cm, intrauterine expansion to the 10th,