论文部分内容阅读
白某某,30岁,孕2产1。因妊娠35~(+6)。周下腹阵痛6小时于1993年4月15日急诊入院。1988年10月妊娠足月因漏斗骨盆在当地医院行剖宫产术,术式不详。术后伤口感染,延期愈合。查:一般情况好。BP14/10kPa,P84次/分。下腹正中一纵行陈旧手术疤痕。腹围97cm,宫高34cm。宫缩规律30～40秒/1～2分,胎心遥远,140次/分,子宫下段轻压痛。导尿管中尿液清亮。血常规正常。立即在硬膜外麻醉下行剖宫术。术中见腹膜与大网膜、膀胱、子宫浆膜层广泛粘连;宫体部一纵行完
White Moumou, 30 years old, pregnant 2 produce 1. Because of pregnancy 35 ~ (+6). Weeks abdominal pain of 6 hours in April 15, 1993 emergency admission. October 1988 full-term pregnancy due to funnel pelvis at the local hospital cesarean section, surgical procedures are unknown. Postoperative wound infection, delayed healing. Check: the general situation is good. BP14 / 10kPa, P84 times / min. The abdomen in the middle of a longitudinal operation of old surgical scars. Abdominal circumference 97cm, Palace height 34cm. Contractions law 30 to 40 seconds / 1 to 2 points, far away from the fetal heart rate, 140 beats / min, mild uterine tenderness. Urine catheter clear. Normal blood. Immediate cesarean section under epidural anesthesia. Intraoperative see the peritoneum and omentum, bladder, uterine serosa extensive adhesions; Palace body a longitudinal end