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例1.患者25岁,住院号45845.妊娠38周初产,于1982年儿月6日临产入院.自然分娩一男婴,体重2750g.第一产程9小时,第二产程1小时8分钟,第三产程8分钟,总产程10小时16分钟。产后出血60ml,Bp16.0/10.7kPa,软产道无损伤,子宫收缩良好.产后4小时,自感心慌,Bp10.7/6.67kPa,p104次/分.检查:宫底脐上3指偏向右侧,左下腹饱满,腹肌紧张,压痛明显,无移动性浊音,耻骨联合上左侧可触及约7×10×11cm 边界不清、质软、有压痛且不活动的包块.内诊:左侧阴道穹窿可触及边界不清有明显触痛的囊性包块,与腹部左侧包块相连,初步诊断为盆腔血肿.行剖腹探查,术中见腹膜水肿,膀胱水肿约3个月妊娠子宫大,左侧腹膜反折和后腹膜下可
Example 1. Patient 25 years old, hospital number 45845. First trimester of pregnancy 38 weeks, admitted to hospital on January 6, 1982. Natural delivery of a baby boy, weighing 2750g. The first stage of labor for 9 hours, the second stage of labor for 1 hour and 8 minutes, Three labor process for 8 minutes, the total production process 10 hours and 16 minutes. Postpartum hemorrhage 60ml, Bp16.0 / 10.7kPa, soft birth canal without injury, good uterine contractions .4 hours postpartum, apathetic, Bp10.7 / 6.67kPa, p104 times / min. Side, left lower quadrant full, abdominal muscle tension, tenderness obvious, no movement dullness, pubic symphysis on the left side can reach about 7 × 10 × 11cm unclear boundary, soft, tender and inactive mass .Internal: The left vaginal fornix can reach the cystic mass with unclear obvious tenderness and is connected with the mass on the left side of the abdomen and is initially diagnosed as pelvic hematoma.It laparotomy is used to detect peritoneal edema and cyst edema for about 3 months Large uterus, left peritoneal fibrosis and retroperitoneal can be