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【例1】患者26岁,住院号50965,孕_1产_0。因妊娠34~(+3)周、中度妊高征,于1988年1月12日入院。末次月经1987年5月14日,既往史无特殊。入院后给硫酸镁、地巴唑等治疗。住院第6天晚8时,大便后突感腹部持续剧痛。当时查体:血压14.7/12kPa,表情痛苦,面色苍白,下肢浮肿(++)。心肺正常,肝脾未及,全腹有明显压痛、反跳痛和肌紧张,以右侧更甚。宫体持续硬如板状,宫高34cm,腹围90cm,头先露,未衔接,胎心正常。阴道无出血,宫口未开,胎膜未破。拟诊胎盘早剥,行急症剖腹探查术。术中见腹腔内出血约1300ml。先作子宫下段剖宫产,娩出一未成熟女婴,轻度窒息。羊水色清,胎盘正常,无早剥现象。
[Example 1] Patient 26 years old, hospital number 50965, pregnancy _1 production _0. Due to 34 ~ (+3) weeks of pregnancy, moderate pregnancy-induced hypertension syndrome, in January 12, 1988 admission. Last Menstruation May 14, 1987, no previous history. After admission to magnesium sulfate, methimazole and other treatment. On the 6th day after hospitalization at 8:00, sudden sensation in the abdomen caused severe pain in the stool. At that time examination: blood pressure 14.7 / 12kPa, facial expression pain, pale, lower extremity edema (++). Cardiopulmonary normal, liver and spleen is not, the whole abdomen with significant tenderness, rebound tenderness and muscle tension to the right even more. Palace body continued hard as a plate, Gong Gao 34cm, abdominal circumference 90cm, the first first exposed, not convergence, normal fetal heart rate. No vaginal bleeding, cervix is not open, the membranes are not broken. Probable placental abruption, emergency surgery laparotomy. Intraoperative see intraperitoneal hemorrhage about 1300ml. The first cesarean section for the lower uterine segment, delivered an immature baby girl, mild suffocation. Amniotic fluid clear, normal placenta, no premature peeling phenomenon.