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韩某32岁,二孕,第一胎顺产.现妊娠末期,一周前无诱因无腹痛阴道流血,开始量较少,未予诊治.1994年3月14日夜因突然阴道流血增多(超月经量)而急诊来院.查体:一般状态良好,无明显贫血外观.心肺正常.妊足月腹形,宫高26cm,腹围90cm,胎头浮动,胎心弱,100～160次/分.阴道有少量血性分泌物,宫颈消失,宫口开大2cm,胞泡不清,似触及胎盘组织,先露高浮.诊断:妊娠末期,低置胎盘,胎儿宫内窘迫.急行剖宫产术,术中见较厚的膜状物包裹胎儿,破膜后取出一女性活婴,体重2950g.清理宫腔时,胎膜与宫内壁附着紧密,剥离困难,徒手费力剥出.胎盘约16cm×15cm×1.5cm大小,大部分胎膜为菲
Han a 32-year-old, second pregnancy, the first child of the birth .At the end of pregnancy, a week ago no incentive to no abdominal pain vaginal bleeding, the beginning of a small amount, no diagnosis and treatment .In March 14, 1994 night due to sudden vaginal bleeding increased ) And emergency room. Physical examination: the general state of good, no obvious appearance of anemia. Cardiopulmonary normal. Pregnant foot celiac, Palace height 26cm, abdominal circumference 90cm, fetal head floating, weak fetal heart rate, 100 to 160 beats / min. A small amount of bloody discharge, the cervix disappears, the cervix open 2cm, clear vesicles, placental tissue may touch, first exposed high float. Diagnosis: late pregnancy, low placenta, fetal distress. Urgent cesarean section, Intraoperative see a thick film wrapped the fetus, after rupture of the membrane removed a female live baby, weight 2950g.When cleaning the uterine cavity, the fetal membrane and intrauterine wall attached closely, stripping difficult, hand stripping .Placental about 16cm × 15cm × 1.5cm size, most of the fetal membranes for the Philippines