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人工流产术后,由于宫腔大量积血,可发生与胎盘早剥相同的病理改变,即血液渗入子宫肌层,使子宫呈紫红色,进一步发展则为紫黑色,我们即称为“人工流产术后子宫卒中”。三年来我们遇到2例,现报告如下: 【例1】陈××,32岁。因人工流产术后下腹出现一肿物,伴心悸半天,于1977年2月21日0点20分急诊入院。患者于2月20日下午在当地卫生院诊断为孕2月行人工流产术,手术时间长达1小时余,出血量约400毫升。回家后阴道流血水,感下腹部隐痛并出现一逐渐增大之肿物,伴心悸、恶心、呕吐,呕出胃内容物。检查:体温37.6℃,脉搏118次/分,呼吸24次/分,血压90/60毫米汞柱。神清,贫血貌,脉细弱。腹软,肝脾未触及。下腹部正中可触及一孕4个月大小之肿物,有明显压痛。妇科检查:阴道有血水流出,宫口未开,子宫如孕4个月大小,张力高,有压痛,宫颈有举痛,双附件(-)。化验室检查:血红蛋白10克%,红细胞300万/立方毫米,白细胞11,000/立方毫米,中性粒
After the abortion, due to a large number of intrauterine hemorrhage, placental abruption may occur the same pathological changes, that is, blood into the myometrium, so that the uterus was purple, further development of purple black, we call it “abortion Postoperative uterine stroke. ” We encountered two cases in three years, are as follows: [Example 1] Chen × ×, 32 years old. Due to abortion after abdomen appeared a mass, with heart palpitations for a long time, at 0:20 on February 21, 1977 emergency admission. Patients in the afternoon of February 20 at the local hospital diagnosed with pregnancy in February line abortion, surgery for up to 1 hour more than the amount of bleeding about 400 ml. Vaginal bleeding after coming home, feeling a pain in the abdomen and a gradually increasing mass, palpitations, nausea, vomiting, vomit the contents of the stomach. Check: body temperature 37.6 ℃, pulse 118 beats / min, breathing 24 beats / min, blood pressure 90/60 mm Hg. God clear, anemia appearance, weak pulse. Abdomen soft, liver and spleen not touched. The middle of the lower abdomen can reach the size of a pregnancy 4 months of the tumor, there was significant tenderness. Gynecological examination: vaginal bleeding, cervix is not open, the uterus, such as pregnancy 4 months size, high tension, tenderness, cervical pain, double attachment (-). Laboratory tests: hemoglobin 10%, erythrocytes 3 million / cubic mm, white blood cells 11,000 / cubic mm, neutrophils