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患者27岁。1987年9月18日因妊娠6个月要求终止妊娠住院。月经(600+(3～4))/30无痛经史,末次月经1987年3月10日,1983年结婚,1985年9月孕第1胎,足月因臀位骨盆均小行古典式剖宫产术。检查:T36.5℃,P84次/min,BP13/9kPa,身材矮小,心肺正常。宫底脐上2指,宫体特别软,轮廓不清,胎位不清,胎心未闻及。腹壁有一12cm纵行瘢痕。外阴、阴道正常,宫颈位置较高,穹窿部消失,宫口有少许暗褐色分泌物,无触痛。B超探查报告,胎儿宫内发育正常。血常规:RBC2.8×10~(12)/L,Hb90g/L。住院第2天阴道流出暗褐色血
The patient is 27 years old. September 18, 1987 for 6 months of pregnancy required termination of pregnancy hospitalization. Menstruation (600+ (3 ~ 4)) / 30 painless history, the last menstrual March 10, 1987, married in 1983, the first pregnancy in September 1985, full-term due to the buttocks pelvis are small-line classical profile Palace production. Check: T36.5 ℃, P84 times / min, BP13 / 9kPa, short stature, normal heart and lung. Uterus at the end of the palace refers to 2, the palace is particularly soft, unclear, fetal position is unclear, fetal heart not heard. Abdominal wall has a 12cm longitudinal scar. Vulva, normal vagina, higher cervical position, vault disappeared, a small dark brown cervix secretions, no tenderness. B-probe, intrauterine fetal development is normal. Blood: RBC2.8 × 10 ~ (12) / L, Hb90g / L. Vaginal discharge of dark brown blood on day 2 of hospitalization