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例1．徐xx,36岁,孕3产2孕30周。因洗衣服后出现腹痛,并渐加重,难以忍受,伴阴道少量流血,急诊送入我院。查检:痛苦状,脸色苍白,贫血貌,神志清,能合作,脉搏110次/分,呼吸23次/分,血压10.7/6.7KPa,心率100次/分、律齐,无晕厥;全腹压痛、肌紧张及反跳痛。产检:宫高32cm,腹围90cm,胎位不清,胎心未闻及,宫口未开,胎膜未破,阴道有少量流血。拟诊:胎盘早剥伴失血性休克,死胎。立即输血输液抗休克,测BP升至13.3/9.3KPa后,在持续硬膜外麻醉下刮宫产术,术中见子宫呈紫铜色,系子宫胎盘卒中,并顺时针旋转180度。行子宫体部切开术,发现胎儿已死,胎盘已完全剥离,宫腔内积血约2500ml,取出胎儿及胎盘,吸尽宫腔内积血,子宫收缩乏力,并持续出血,即行子宫次切除术。住院10天痊愈出院。
example 1. Xu xx, 36 years old, pregnant 3 birth 2 pregnant 30 weeks. Due to wash clothes after abdominal pain, and gradually heavier, unbearable, with a small amount of vaginal bleeding, emergency into our hospital. Check: Painful, pale, anemic appearance, conscious, can cooperate, pulse 110 beats / min, breathing 23 beats / min, blood pressure 10.7 / 6.7KPa, heart rate 100 beats / min, law Qi, no syncope; Muscle tension and rebound tenderness. Inspection: Palace height 32cm, abdominal circumference 90cm, fetal position is unclear, fetal heart failure, cervix is not open, the membranes are not broken, a small amount of vaginal bleeding. Diagnosis: placental abruption with hemorrhagic shock, stillbirth. Immediate transfusion of anti-shock infusion, measured BP rose to 13.3 / 9.3KPa after continued epidural anesthesia curettage surgery, the uterus was copper, hysteroscopic placental stroke, and clockwise 180 degrees. Line uterine incision and found that the fetus is dead, the placenta has been completely stripped, intrauterine hemorrhage about 2500ml, remove the fetus and placenta, exhaustion intrauterine hemorrhage, uterine atony, and continuous bleeding, uterine line cut. Hospitalized 10 days cured.