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患者23岁,住院号151349.因孕足月会阴侧切自然分娩,于产后50天,侧切创口出血不止,曾在院外反复行缝合术8次,输血5600ml 无效,于1990年5月7日转入我院.患者既往体健,无出血病史.查体:T 38℃,P120次/分,Bp13.2/7.96kPa.患者严重贫血貌,腹平软,子宫已复旧,阴道左侧壁近处女膜缘处有3×3cm 大小创面,表面溃疡,有新鲜出血.辅助检查:Hb78g/L,WBC8.5×10~9/L,出凝血时间行为2分.诊断:阴道壁溃疡出血.入院后即予输血和局部压迫止血,因无效次日行局部清创缝合,病理切片诊断为“坏死溃疡组织”。术后仍每天出血100～600ml 不等,此间曾采用不同方法局部压迫止血11次,缝合5次均未能奏效。1990年5月31日(入院后24天),再次阴道大出血600ml,病人处于休克前期,在抗休克同时行急诊腹膜内双侧
The patient was 23 years old, hospital number 151349. Due to full-term perineal episiotomy natural childbirth, 50 days after delivery, lateral wound bleeding, repeated suture in the hospital 8 times, transfusions 5600ml invalid, transferred on May 7, 1990 In our hospital, the patient had no previous history of hemorrhage, physical examination, T 38 ℃, P120 beats / min, Bp13.2 / 7.96kPa. The patient had severe anemia appearance, the abdomen was soft and the uterus was old. Edge 3 × 3cm size wounds, surface ulcers, fresh bleeding.Auxiliary examination: Hb78g / L, WBC8.5 × 10 ~ 9 / L, the clotting time behavior of 2. Diagnosis: vaginal wall ulcer bleeding after admission To blood transfusion and local oppression to stop bleeding, the next day due to ineffective local debridement and sutured, pathological diagnosis of “necrotic tissue.” Bleeding day after surgery is still ranging from 100 ~ 600ml, here have used different methods of local oppression hemostasis 11 times, suture 5 times failed to work. May 31, 1990 (24 days after admission), again vaginal bleeding 600ml, the patient is in the early stage of shock, while anti-shock emergency intraperitoneal bilateral