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患者,女,43岁,第6胎,阵发性腹痛伴少量阴道出血3小时于1992年5月3日21时40分入院。查体:T37℃,R20次/min,BP12/7kPa,心肺正常,肝脾未及,胎位右枕前,胎心音正常,宫口开3.0cm,宫口12°～3°处能触及软组织,经处理24时自然分娩,即发生阴道大出血,行人工剥离胎盘术,胎盘胎膜完整,阴道无裂伤,血压降至4/0kPa,子宫收缩乏力,立即采取促进子宫收缩、宫腔填塞纱布条、静脉切开、输血输液等综合措施,均未能控制出血,遂行子宫切除术,在继续抗休克治疗过程中发生尿少、无力、尿蛋白(++),尿素氮16.0μmol/L,血肌酐520.4umol/L,又采取护肾、利尿、纠正酸碱平衡和水电
Patients, female, 43 years old, 6th child, paroxysmal abdominal pain with a small amount of vaginal bleeding for 3 hours on May 3, 1992 at 21:40 on admission. Physical examination: T37 ℃, R20 times / min, BP12 / 7kPa, normal heart and lung, liver and spleen not, fetal right occipital, fetal heart sound normal, uterine open 3.0cm, cervix 12 ° ~ 3 ° at the soft tissue , The natural childbirth after treatment of 24, the occurrence of vaginal bleeding, manual dissection of placenta, placenta fetal membranes complete, no vaginal laceration, blood pressure dropped to 4 / 0kPa, uterine atony, and immediately take to promote uterine contractions, (+), Urea nitrogen (16.0μmol / L), blood urea nitrogen (+), blood urea nitrogen Serum creatinine 520.4umol / L, but also take kidney, diuretic, correct acid-base balance and hydropower