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患者女,农民,23岁,孕1产0。孕39~+周在当地卫生所分娩,行负压吸引三次均失败,改行子宫下段剖宫产,产一活婴。据介绍,当时手术顺利,术中出血约300ml;后术24小时无尿,术后第二天起每天均补液6000ml,但每日尿量少于400ml;术后第三天通气,但一直高热、腰痛、腹胀,术后第六天急诊转入我院。入院时血压14.6/9.3kPa,P120次/分,R40次/分,T38.1℃,急性重病容,重度贫血貌,颜面全身浮肿,心率120次/分,律齐,呼吸促,双肺呼吸音粗糙,未闻及啰音,腹部膨隆,可见肠
Female patient, farmer, 23 years old, pregnant 1 produce 0. Pregnancy 39 ~ + weeks in the local health clinic childbirth, negative pressure to attract three failed, diverted cesarean section lower uterine segment, producing a living baby. According to reports, when the operation was smooth, intraoperative bleeding of about 300ml; after 24 hours of anuria, the day after the second day of rehydration 6000ml, but the daily urine output of less than 400ml; ventilation after the third day, but has been hot , Back pain, abdominal distension, the sixth day postoperative emergency transferred to our hospital. Admission of blood pressure 14.6 / 9.3kPa, P120 beats / min, R40 beats / min, T38.1 ℃, acute serious illness, severe anemia, facial edema, heart rate 120 beats / min, Rough, unheard and rales, bulging belly, visible intestine