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患者女,42岁,农民。孕_2产_1,住院号77829。足月妊娠合并子宫肌瘤,因胎膜早破、滞产,1997年7月10日在当地乡镇医院行剖宫产并子宫肌瘤剔除术,娩出一活男婴,体重3800克。术后2天出现高热,伴腹痛、腹胀,经胃肠减压、应用抗生素、补液治疗5天后,上述症状加重,伴精神不振、呼吸急促。急转我院。 入院查体:体温39.2℃,脉搏110次/分,呼吸40次/分,血压14/8kPa。急性病容,精神萎靡不振,被动体位。呼吸急促,两肺呼吸音清,呼吸动度增深。心率110次/分,律整,心音有力。全腹高度膨胀,腹式
Female patient, 42 years old, farmer. Pregnancy _2 production _1, hospital number 77829. Full-term pregnancy with uterine fibroids, premature rupture of membranes due to childbirth, July 10, 1997 in the local township hospital cesarean section and myomectomy, delivered a live baby boy weighing 3800 grams. 2 days after onset of fever, with abdominal pain, abdominal distension, gastrointestinal decompression, the application of antibiotics, fluid treatment for 5 days, the above symptoms aggravated, with lack of energy, shortness of breath. Sharply to our hospital. Admission examination: body temperature 39.2 ℃, pulse 110 beats / min, breathing 40 beats / min, blood pressure 14 / 8kPa. Acute illness, mental depression, passive posture. Shortness of breath, breath sounds clear lungs, breathing increased mobility. Heart rate 110 beats / min, law, heart sound strong. Full abdominal height expansion, abdominal