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24岁。第一胎足月分娩。因产后下腹坠胀半月,排尿困难2天入院。患者半月前在家娩出一女婴;胎盘迟迟不下,经用力按压腹部才娩出。此后下腹坠胀,恶露不尽。近2天排尿困难,逐渐加重。当地卫生院发现阴道内有圆形肿物,误为胎盘,行牵拉剥离,肿物遂脱出于阴道外。以“子宫翻出”转我院。既往体健。月经量较多。体查:重度贫血貌,腹软,下腹隆起,膀胱区呈浊音,肠鸣音存在。余正常。妇查:自阴道内脱出一椭圆形肿
24 years old. The first full-term childbirth. Lower abdomen due to postpartum bulge, urinary difficulty admitted to hospital for 2 days. The patient gave birth to a baby girl at home half a month ago; the placenta was delayed and was delivered by force on the abdomen. After abdominal bulge, lochia endless. Nearly 2 days dysuria, gradually increased. Local hospitals found a circular tumor within the vagina, mistaken for the placenta, the line stretch stripping, then prolapse of the tumor outside the vagina. “Uterine pulls out” to our hospital. Past physical health. Menstrual volume more. Physical examination: appearance of severe anemia, abdominal soft, bulging lower abdomen, bladder voiding, bowel sounds exist. More than normal. Women: from the vaginal prolapse of an oval-shaped swollen