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患者女,28岁。第一胎37周;高血压、双下肢浮肿、蛋白尿于1983年5月10日入院。查体:体温36.5℃、脉搏80次/分,血压140/100,心肺(-),肝脾未触及,腹壁松,腹围81厘米,子宫底高于剑突下一指;胎位右枕前,胎心音150次/分,胎动存在,骨盆狭窄;乳房发育正常,乳头凸,双下肢浮肿++,B型超声波胎儿双顶径7.6厘米,胎心音搏动明显,胎盘前壁于宫体偏上,胎儿胎体活动尚好。尿常规为蛋白尿++,白细胞+++、红细胞6～7个。1983年6月15日行剖宫取胎术,见子宫左角自然陈旧性破裂,继发性腹腔妊娠、植入性胎盘;胎盘的主体植入左侧宫底左角内,另二部分别植入盆壁左角和左后腹膜粘连,难以分
Female patient, 28 years old. The first 37 weeks; high blood pressure, lower extremity edema, proteinuria in May 10, 1983 admission. Physical examination: body temperature 36.5 ℃, pulse 80 beats / min, blood pressure 140/100, cardiopulmonary (-), liver and spleen not touched, abdominal wall, abdominal circumference 81 cm, , Fetal heart sound 150 beats / min, fetal movement, pelvic stricture; normal breast development, nipple convex, lower extremity edema ++, B-mode ultrasound fetal biparietal diameter 7.6 cm, fetal heart beat beating significantly, the anterior wall of the placenta in the Palace On the upper, fetal carcass activity is still good. Urine routine proteinuria ++, white blood cells +++, 6 to 7 red blood cells. June 15, 1983 cesarean section fetus fetus surgery, see the old left corner of the uterus naturally ruptured, secondary abdominal pregnancy, implanted placenta; the main body of the placenta implanted in the left corner of the left uterus, and the other two were Implantation of pelvic left and left retroperitoneal adhesions, it is difficult to divide