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患者,女,27岁。在自然分娩一女婴后,阴道出血稍多,肌注催产素10u,25分钟后胎盘仍未剥离娩出,阴道继续有多量出血。助产士让产妇进力,同时向下牵拉脐带,随即发现阴道口脱出儿头大小一肿物。色暗红,脐带附着于正中,患者呼喊下腹部剧烈坠痛,经检查发现:从下腹部触不到宫底,耻骨联合上两横指处可扪及一杯形凹陷,整个子宫体全部翻出于子宫颈及阴道口外。拟诊:①完全性子宫翻出;②部分性胎盘植入。由于强烈的牵拉反射
Patient, female, 27 years old. In a natural childbirth after a baby, vaginal bleeding slightly, intramuscular oxytocin 10u, 25 minutes after the placenta has not stripped delivery, the vagina continue to have a large amount of bleeding. The midwife let maternal effort, while pulling down the umbilical cord, then found that the vaginal orifice size of a small head tumor. Dark red, umbilical cord attached to the center, the patient shouted the abdomen severe pain, the inspection found: touch the bottom of the palace from the lower abdomen, pubic symphysis on both transverse fingers palpable cup-shaped depression, the entire uterus body pulls out In the cervix and vaginal mouth. To be diagnosed: ① complete uterus pulls out; ② partial placenta accreta. Due to intense pull reflection