论文部分内容阅读
患者25岁,初产妇,孕30周,自述不慎跌倒,引起腹痛伴不规则阴道流血一天,疑为早产来我院就诊。产检:宫底剑脐之间,胎心规律,臀先露,外阴有血迹。肛诊:宫口开大2厘米,符合妊娠月份。B超检查:胎儿无畸形,双顶径7.1厘米,胎心145次/分,胎盘位于子宫前壁,羊水3.6厘米,单胎臀位,综上诊断为胎盘早剥?因有宫缩但不规律,故嘱病人卧床休息,3日后,自然娩出一3cm×1.5cm×1.5cm组织软块,送病理检查:胎盘组织,间质血管丰富,无炎症组织浸润。髓后阴道
Patients 25 years old, primipara, 30 weeks pregnant, readme accidentally fell, causing abdominal pain with irregular vaginal bleeding one day, suspected premature delivery to our hospital. Birth control: between the uterine sword at the end of the sword, fetal heart rate law, buttocks exposed, vulva blood. Rectal examination: cervix open 2 cm, in line with the month of pregnancy. B-ultrasound: fetus without deformity, biparietal diameter 7.1 cm, fetal heart rate 145 beats / min, the placenta is located in the anterior wall of the uterus, amniotic fluid 3.6 cm, single breech, to diagnose placental abruption? Therefore, the patient was instructed to rest in bed. After 3 days, a soft tissue mass of 3 cm × 1.5 cm × 1.5 cm was naturally delivered and pathological examination was performed. The placental tissue was rich in interstitial blood vessels and infiltration of inflammatory tissues was not observed. Pith after vaginal