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患者36岁。产后3小时,因下腹部持续性疼痛伴里急后重感入院。患者妊娠41周,臀位,3小时前由接生员行臀位助产生分娩一男婴。因胎盘滞留,于30分钟后转某院妇产科,由医生徒手剥离出完整胎盘,阴道流血不多。2小时后即有下腹部持续性疼痛伴排便感。查体:体温35.8℃,脉搏110次,呼吸22次,血压140/90。神志清,痛苦貌,中度贫血面容。宫底脐上一指偏左,压痛明显。下腹部腹肌较紧张。压痛伴反跳痛,膀胱充
The patient is 36 years old. Postpartum 3 hours, due to persistent pain in lower abdomen with tenesmus feeling admitted to hospital. Patients 41 weeks of gestation, breech, 3 hours before birth by the midwife breech assist to give birth to a baby boy. Due to the retention of the placenta, gynecological obstetrics and gynecology in a hospital after 30 minutes, the doctor unrolled the complete placenta by hand, few vaginal bleeding. 2 hours after the lower abdomen with persistent pain associated with defecation. Physical examination: body temperature 35.8 ℃, pulse 110 times, breathing 22 times, blood pressure 140/90. Conscious, painful, moderate anemia. Umbilical palace on the left refers to a left, tenderness significantly. Abdominal abdominal muscle tension. Tenderness with rebound tenderness, bladder filling