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1病例简介病例1,患者36岁,因“人工流产术后43天,阴道出血4天,大量出血3h”于2012年10月3日收入院。患者平素月经规律,量中,痛经。43天前曾行无痛人工流产术,手术顺利,术后10天阴道出血停止。患者未来院复诊,未避孕。因长途旅行,4天前开始出现阴道不规则出血,休息时缓解,活动后增多;近3h内阴道出血明显增多伴有大血块,有头昏心慌等症状。患者曾于2005年行剖宫产1次,人工流产3次。入院查体:一般情况可,生命体征平稳,血压111/78mmHg;双
1 Case Profile Case 1, patients 36 years old, because “43 days after induced abortion, vaginal bleeding 4 days, massive bleeding 3h ” on October 3, 2012 income hospital. Patients usually menstrual regularity, volume, dysmenorrhea. 43 days ago had a painless abortion, the operation went well, 10 days after vaginal bleeding stopped. Patients in the future hospital referral, not contraception. Due to long-distance travel, irregular vaginal bleeding began to appear 4 days ago, relieve rest, increase after activity; vaginal bleeding within 3 hours significantly increased accompanied by large blood clots, dizziness and other symptoms. Patients had cesarean section in 2005 1, 3 abortion. Admission examination: the general situation may be, stable vital signs, blood pressure 111 / 78mmHg; double