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患者胡××,28岁,第一胎孕34周,因腹痛伴阴道流血7小时,于1983年7月25日入院。未次月经1982年10月7日(衣历)。患者于入院前一天下午登高时不慎摔倒,夜间出现阵发性腹痛,继而阴道流血,量较多,色鲜红。检查:T37.3℃,P96次/分,R20次/分,Bp108/80mm Hg;神志清,查体合作,痛苦病容,失血貌,巩膜黄染,全身皮肤灰黄。心肺(一),肝脾未触及,腹部呈纵轴隆起,下腹中部可触及一索条状物,无压痛,活动度大。子宫底剑下三指,胎位左枕前,胎心13～150次/分,有阵发性宫缩。妇检:二外阴血污,巳婚未产型,阴道通畅,宫口开一指,胎膜未破,先露头,高浮。骨盆各经线外测量均正常。初诊:第一胎孕34周,胎盘早剥,妊娠合并肝炎。给予抗
Hu × × patients, 28 years old, the first gestational age of 34 weeks of pregnancy, abdominal pain with vaginal bleeding for 7 hours on July 25, 1983 admitted. Uncovered menstruation October 7, 1982 (clothing calendar). Patients on the day before admission ascended the afternoon when accidentally fell, nighttime paroxysmal abdominal pain, followed by vaginal bleeding, the amount of more, bright red. Check: T37.3 ℃, P96 beats / min, R20 beats / min, Bp108 / 80mm Hg; conscious mind, physical examination cooperation, painful disease, blood loss, scleral yellow dye, yellow skin of the whole body. Cardiopulmonary (A), liver and spleen not touched, the abdomen was vertical axis bulge, the middle of the lower abdomen can reach a strip of bar, no tenderness, activity. Three fingers under the sword at the bottom of the uterus, the fetus before the left pillow, fetal heart rate of 13 to 150 beats / min, paroxysmal uterine contractions. Maternal seizures: two vulvar blood, married have not produced type, vaginal patency, open a means cervix, fetal membranes are not broken, first outcrop, high float. The pelvic measurements were normal outside the warp. First visit: 34 weeks of first pregnancy, placental abruption, pregnancy with hepatitis. Give resistance