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例1 章××,25岁,住院号89050,孕_1产_0。孕30周零两天。孕28周时因作产前检查后引起不规则阴道出血,量少,色红,无腹痛,持续一周,经治疗止血三天。六天前又开始无原因无痛性反复不规则阴道出血,以“前置胎盘”住院。查体:血压120/80mmHg,心肺(-),腹软无压痛及反跳痛,宫底脐上四指,骶右前位,胎心136/分。住院40天一直有反复不规则阴道出血。有时腹部轻触或听胎心音后即阴道出血。于入院后3日自然破水。但无宫缩,两天后在催产素静滴下行低位产钳助产,胎儿及胎盘娩出顺利。查胎盘完整,母面有一约12×8×6cm~3肿块,伴有机化区域约7×6×3cm~3,送病理检查病检号77—3637:胎盘17×16×3cm~3,周界清楚,切面暗红,分叶状,质软松韧,散在不规则含白色细纹状
Example 1 Chapter XX, 25 years old, hospital number 89050, pregnancy _1 production _0. Pregnant 30 weeks and two days. 28 weeks pregnant due to prenatal examination caused by irregular vaginal bleeding, less, color red, no abdominal pain, continued for a week, after treatment hemostasis for three days. Six days ago began again without reason painless repeated irregular vaginal bleeding to “placenta previa” hospitalization. Physical examination: blood pressure 120 / 80mmHg, cardiopulmonary (-), soft abdominal tenderness and rebound tenderness, uterus at the end of the four fingers, sacral right anterior, fetal heart rate 136 / min. 40 days have been repeated irregular vaginal bleeding. Sometimes the abdomen touch or listen to the fetal heart sound after vaginal bleeding. 3 days after admission naturally broken water. But no contractions, two days later oxytocin intravenous drip low forceps midwifery, the fetus and placenta delivered smoothly. Check the placenta intact, there is a mother of about 12 × 8 × 6cm ~ 3 mass, with the organic area of about 7 × 6 × 3cm ~ 3, sent pathological examination Disease No. 77-3637: placenta 17 × 16 × 3cm ~ 3 weeks Clear world, dark red section, leaf-like, soft and loose, loose irregular white with fine lines