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患者28岁,农民,妊娠23周。以往月经规律,婚后3年,G_3P_0自然流产2次。末次月经1988年12月2日(古),停经40～50天有早孕反应,4~+月感胎动,5~+月后持续下腹隐疼约10~+天,8天前腹疼加重,阴道流血,自觉胎动消失,当地医院诊为“阑尾炎”保守治疗6天效果不佳,B超检查探及胎儿,无胎心诊为死胎,转入妇产科注射雷夫诺尔引产,术后4小时腹疼加重,恶心、呕吐、发烧,又行钳刮术,术前曾探宫腔32cm。术中钳出大网膜组织,认为“子宫穿
Patient 28 years old, farmer, 23 weeks of gestation. Previous menstrual regularity, 3 years after marriage, G_3P_0 spontaneous abortion 2 times. The last menstrual December 2, 1988 (ancient), menopause 40 to 50 days have early pregnancy reaction, 4 ~ + month feel fetal movement, 5 ~ + month after abdominal pain lasting about 10 ~ + days, 8 days ago, abdominal pain increased, Vaginal bleeding, conscious fetal movement disappeared, the local hospital diagnosed as “appendicitis” conservative treatment of 6 days ineffective, B ultrasound examination and fetus, no fetal heart clinic was stillbirth, transferred to obstetrics and gynecology Lefforole induced abortion, postoperative 4 Hour abdominal pain increased, nausea, vomiting, fever, and line clamp curettage, preoperative exploration of the uterine cavity 32cm. Intraoperative clamp oval tissue, that uterine wear