论文部分内容阅读
××,26岁,孕3产1,住院号275964,83年5月行5~+月妊娠引产术,术后情况好;84年3月妊娠29~3周,因“中央性前置胎盘”行子宫体剖宫产,产时胎儿死亡,术中发现胎盘与子宫下段粘连行人工剥离术及搔刮术,术后无感染征象。本次因停经32~3周,无痛性间隙阴道流血17天,流水2小时,B型超声诊断为“边缘性前置胎盘”、于85年8月14日急症入院。入院时检查,除轻度贫血貌外,余无特殊。腹部如7~+月孕大小,宫高25cm,腹围80cm,LOA胎方位,胎心O_x144次/分,先露未固定,无宫缩,阴道少量流血和流水,给予期待疗法。8月28日分娩一男婴。胎儿娩出后30分钟胎盘未自行剥离,则徒手伸入宫腔,胎盘附着在前壁,大而薄(取
××, 26 years old, pregnant 3, producing 1, hospital number 275964, May 5, May 5 to + months of pregnancy induced labor, postoperative condition is good; 84 years of March 29 to 3 weeks of pregnancy, due to “central placenta previa ”Uterine cesarean section, fetal death at birth, surgery found that the adhesion of the placenta and lower uterine segment artificial dissection and scraping curettage, postoperative infection. This time due to menopause 32 to 3 weeks, painless vaginal bleeding for 17 days, 2 hours of running water, B-mode ultrasound diagnosis of “marginal placenta previa”, in August 14, 85 acute hospital admission. When I was admitted to the hospital, except for mild anemia, I had no special treatment. Abdomen, such as the size of 7 ~ + months of pregnancy, palace height 25cm, abdominal circumference 80cm, LOA fetal orientation, fetal heart O_x144 beats / min, the first exposed unfixed, no contractions, a small amount of vaginal bleeding and water, give expectant therapy. A baby boy was delivered on August 28. The placenta does not peel off automatically after the delivery of the baby within 30 minutes. Then, the hand is inserted into the uterine cavity with the placenta attached to the anterior wall, which is large and thin.