论文部分内容阅读
患者33岁,第2胎妊娠39周,于1989年1月11日下蹲时突然下腹撕裂样疼痛,随之大汗淋漓。1h 出现心慌,无阴道流血。当日急诊入院。1984年,第1胎因中央性前置胎盘行子宫体部剂宫产术,术后经过良好。查体:T35.4℃,P 不清,BP7/5kPa,神志不清,烦躁,贫血貌,睑结膜苍白,心音低钝,律齐,心率120次/min,腹部高度隆起,下腹正中可见手术疤痕,子宫轮廓不清,全腹均有明显压痛及反跳痛,胎心听不到,急查血常规:血红蛋白8.4g,入院诊断:
Patient 33 years old, the second gestation 39 weeks, on January 11, 1989 when the squat suddenly abdomen tear-like pain, followed by sweating. 1h palpitation, no vaginal bleeding. Emergency hospital admission. In 1984, the first child due to central placenta previa uterine hysteroscopy, postoperative good. Check body: T35.4 ℃, P unclear, BP7 / 5kPa, confusion, irritability, anemia appearance, pale conjunctiva, low heart sound blunt, law Qi, heart rate 120 beats / min, abdomen height bulge, Scar, uterine outline is not clear, the whole abdomen have significant tenderness and rebound tenderness, fetal heart can not hear, acute check blood routine: hemoglobin 8.4g, admission diagnosis: