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病例:31岁,孕1产0。一胎孕39周临产,于1981年1月9日入院。因均小骨盆、珍贵儿于当日15点50分行子宫下段剖宫产。据病历记载,术中除发现膀胱底较高外,手术尚顺利。术后第1天发现尿量少呈深黄色,24小时尿量约500毫升。术后第6天自觉小便不能控制,阴道流水。术后第7天经导尿管注入膀胱稀释美蓝液,经观察阴道内纱布未见蓝染,证明无膀胱阴道瘘存在,但按压宫底可见宫口有尿液流出,考虑有高位瘘存在。术后第9天出现高烧(39～40℃),白细胞1.9×10~9/L,右下腹稍膨隆,腹肌
Case: 31 years old, pregnant 1 produce 0. 39 gestational weeks of labor a child, January 9, 1981 admission. Due to the small pelvis, the precious child on the same day at 15:50 underwent uterine cesarean section. According to medical records, surgery found that the bladder at the end of higher, the surgery is still smooth. On the first day after operation, urine volume was found to be dark yellow and urine output was about 500 ml in 24 hours. 6 days after surgery can not control conscious urination, vaginal water. After 7 days after catheterization into the bladder diluted methylene blue liquid, no blue dye was observed in the vaginal gauze, there is no vesico-vaginal fistula, but the cervix can be seen at the end of the cervix with urine outflow, consider the presence of high fistula . High fever (39-40 ℃) occurred on the 9th postoperative day, leukocyte 1.9 × 10-9 / L, slightly inflated right lower quadrant,