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随着剖宫产率的升高,子宫切口感染、裂开也成为晚期产后出血的重要原因之一。1临床资料:患者,女,28岁,主因剖宫产术后反复阴道不规则流血2个月余入院。患者因“孕39+4周,胎膜早破”于2009-10-10新疆某县级医院行剖宫产术(子宫下段横切口),产一活女婴,体重3.4kg,Apgar评分10分,术中羊水II度,胎盘胎膜娩出完整,无胎盘早剥及胎盘粘连等。手术顺利,术后子宫复旧佳,术后第2天体温37.3~37.7℃,余体温正常,阴道血性恶露少许,术后5天治愈出院。出院后一直阴道不规则流血,褐色,无异味,淋漓不尽,量少,用护垫即可。无坐浴及性
With the increase of cesarean section rate, uterine incision infection, rupture has also become one of the important causes of postpartum hemorrhage. 1 Clinical data: The patient, female, 28 years old, mainly due to irregular vaginal bleeding after cesarean section more than 2 months admitted to hospital. In patients with “pregnancy 39 +4 weeks, premature rupture of membranes” at a county hospital in Xinjiang in 2009-10-10 cesarean section (lower uterine segment transverse incision), a live baby girl, weight 3.4kg, Apgar Score 10 points, intraoperative amniotic fluid II degrees, complete delivery of placental membranes without placental abruption and placental adhesion. The operation was successful and the postoperative uterine involution was good. The body temperature was 37.3 ~ 37.7 ℃ on the second postoperative day, the body temperature was normal and the vaginal bloody locust was a little. The patients were cured and discharged after 5 days. Discharge has been vaginal irregular bloodshed, brown, odorless, dripping, less, with pad can be. No bath and sex