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患者27岁,住院号5848。2年前足月妊娠子宫体部剖宫产分娩一胎。现妊娠32周,3天前因乘坐汽车颠簸后,自觉腹部不适,阴道少量流血。2个小时后出现腹胀,呕吐胃内容物,停止排气、排便2天,于当地医院就诊,Hb55g/L,输血500ml,1天后转入我院。查体:T37.2℃,P104次/分,P26次/分,Bp18/10kPa,神志清,贫血貌,抬入病室。睑结膜苍白,心肺听诊无异常,腹膨隆,下腹正中有一长8cm 陈旧性疤痕,无胃肠蠕动波,上腹部轻压痛,无肌紧张及反跳痛,
Patient 27 years old, hospital number 5848.2 years ago, full-term pregnancy uterine cesarean section delivery of a child. Now 32 weeks of pregnancy, 3 days ago due to car bumpy, conscious abdominal discomfort, a small amount of vaginal bleeding. 2 hours later abdominal distension, vomiting stomach contents, stop the exhaust, defecation for 2 days, at a local hospital for treatment, Hb55g / L, blood transfusions 500ml, 1 day later transferred to our hospital. Physical examination: T37.2 ℃, P104 times / min, P26 beats / min, Bp18 / 10kPa, consciousness clear, anemia appearance, into the ward. Pale palpebral conjunctiva, cardiopulmonary auscultation no abnormalities, abdominal bulging, lower abdomen in the middle of a long 8cm old scars, no gastrointestinal motility wave, mild tenderness in the abdomen, muscle-free tension and rebound tenderness,