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女患,23岁。因羊膜腔内注药引产出现高度胀气13小时入院。系第二胎,妊娠21周,于1983年8月17日15时在当地卫生院用利凡诺100mg行羊膜腔内注药引产,当时抽取羊水澄清,注射顺利。次日7时自觉腹胀,10时许腹胀加重,体温38.5℃,肌注安痛定及安脑Ⅰ号各2支,体温稍降,但腹胀继续加重,出现恶心、呕吐,吐物为胃内容,肛管排气少许,灌肠两次排出黄色软便,无粘液及脓血。晚20时腹胀继续加重转入我院。查体:全腹高度膨隆呈球形,宫底达剑突下一指,叩诊全腹鼓音,透视见全腹透光度增大,于右肋下见一弯月形条状阴影,耻骨联合上3cm见一横贯的液平面。因对此症无经验,仅予输液及消炎治疗。晚23时50分自然破膜,自阴道流出洗肉水样混
Female suffering, 23 years old. Induction of amniotic fluid due to high incidence of flatulence 13 hours admission. Department of the second child, 21 weeks of gestation, at 15 o’clock on the August 17, 1983 in the local health hospital with Rivanol 100mg amniotic fluid injection, induced abortion, then drawn amniotic fluid clarification, injection smoothly. Conscious abdominal distension at 7 o’clock the next day, abdominal distension worsened at 10 am, body temperature 38.5 ℃, intramuscular injection of Ann and Dingnao No. 2 each 2, body temperature slightly lower, but abdominal distension continued to worsen, nausea, vomiting, spit things for the stomach, A little anal exhaust, enema discharge yellow soft stool twice, no mucus and pus and blood. Late bloating at 20:00 continue to increase into our hospital. Physical examination: the whole abdomen was highly bulging bulge, the uterus up to a point under the xiphoid, percussion full abdominal drum sound, see see the full translucency of light increases, see a crescent-shaped bar shadow in the right rib, suprapubic joint 3cm see a horizontal plane. Because of this disease no experience, only infusion and anti-inflammatory treatment. 23:50 pm natural rupture of membranes, since the vaginal discharge wash water samples mixed