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例1.24岁,孕2产0’住院号89498.1988年11月因不全流产行清宫术,本次孕41~(+2)周于1989年10月8日在本院住院分娩,产后35分钟胎盘未下,行人工剥离胎盘术失败,怀疑胎盘植入,因出血不多,在严密观察下,行 B 超检查示子宫明显增大,宫腔内可见一大小为109×50mm 的胎盘组织,内部为多个强光团,光带及光环,光点粗,分布不均,子宫底部肌层变薄,仅为8mm.诊断胎盘滞留(植入性胎盘).予以中药生化汤(当归24g,川芎9g,桃仁9g,炮姜3g,炙甘草3g)加益母草30g,赤芍9g,五灵脂9g,黄芪9g,党参12g.每日1剂,共服7天,血性恶露减少.谨慎行钳夹术,夹出少部分胎盘组织,大部分钳夹困雉,未强行钳夹,继续用生化汤加味治
Cases of 1.24 years old, 2 pregnant 0 birth hospital number 89498. 1988 November due to incomplete abortion curettage, the pregnancy 41 ~ (+2) weeks in October 8, 1989 hospital delivery in this hospital, 35 minutes postpartum placenta Under the line of manual dissection of placenta failed, suspected placenta accreta, due to bleeding is not much, under close observation, line B-ultrasound showed a significant increase in the uterus, uterine cavity can be seen a size of 109 × 50mm placental tissue, internal A number of light groups, light bands and aura, spot light, uneven distribution, the bottom of the uterine myometrium thinning, only 8mm. Diagnosis of placenta accreta (placenta accreta). To be biochemical soup (Angelica 24g, Chuanxiong 9g , Peach kernel 9g, canned ginger 3g, Zhigancao 3g) plus Motherwort 30g, red peony 9g, Wulingzhi 9g, Astragalus 9g, Codonopsis 12g .Daily, for a total of 7 days, reduce bloody lochia .Cautious line clamp , Clip a small part of the placenta, most of the pike trapped pheasant, did not force the clamp, continue to use biochemical soup plus