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患者,23岁,孕2产1。孕36~(+1)周时因不规则宫缩于1991年11月29日3时40分入院。于当日15时临产,19时宫口开全,经侧切娩出男婴,脐带长60cm,常规牵引脐带,10分钟后胎盘娩出,见阴道口一拳大肿块,周围被宫颈环包绕,表面有直径4cm 胎盘粘连,即予以徒手剥离。于耻骨联合上三指处触及杯形凹陷,行回纳复位术,因宫颈环挛缩未能完全复位,患者因疼痛及出血,血压降至10/7kPa,即加压输血,并作第二次回纳使内翻宫体基本复位。产后第3天发现宫口又有拳大肿块,行第三次回纳使基本复位后,用卵圆钳钳夹宫颈四周,填塞二块有尾纱条,催产素
Patient, 23 years old, 2 pregnancies. Pregnancy 36 ~ (+1) weeks due to irregular contractions at November 29, 1991 at 3:40 on the hospital. At 15 o’clock on the day of labor, at 19 o’clock cervix open, the baby was delivered by the lateral cut, umbilical cord length 60cm, conventional traction umbilical cord, 10 minutes after the placenta was delivered, see the vaginal orifice punch, around the cervical ring surrounded by a surface 4cm diameter placenta adhesion, that is to be free hand stripping. In the pubic symphysis on the third finger at the cup-shaped depression, line back satisfied that the reduction surgery, cervical ring contracture failed to fully reset the patient due to pain and bleeding, blood pressure dropped to 10 / 7kPa, that is, pressurized blood transfusion, and for the second time back Na make the inverted Palace of the basic reduction. The third day postpartum was found in the mouth of a large fist of the mouth, line the third time to make the basic reduction of sodium, the use of oval pliers clamp around the cervix, stuffing two tail yarn, oxytocin