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患者刘××,38岁,住院号70800。于1995年11月26日孕_1产_0孕38~(+2)周、阴道流水2小时,无腹痛入院。孕期情况良好,孕4~+月感胎动。入院检查:T36.5℃,BP15/11kps,身材矮胖,体重80kg。产科情况:胎位LOA,头浅入盆,未固定。肛查:宫口未开,阴道有少许血性羊水流出。入院当日因高龄初产,珍贵胎儿、胎膜早破在腰麻下行子宫下段剖宫产术。术中见羊水清亮,脐带绕颈一周,胎位LOT。胎儿娩出顺利,体重3.5kg,无窒息。胎儿娩出后,即开始人工剥离胎盘。胎盘附着于子宫前壁,下缘与切口平行,胎盘剥离尚顺利,但胎膜粘连。在牵拉胎膜过程中子宫随之翻出,当时子宫收缩较差,但
Liu × × patients, 38 years old, hospital number 70800. On November 26, 1995, pregnant _1 __ pregnancy 38 weeks (+2) weeks, vaginal water for 2 hours, no abdominal pain admitted. Pregnancy is in good condition, pregnant 4 ~ + feel fetal movement. Admission examination: T36.5 ℃, BP15 / 11kps, stout body weight 80kg. Obstetric conditions: fetal position LOA, head shallow into the basin, not fixed. Anal examination: cervix is not open, the vagina a little bloody amniotic fluid outflow. On the day of admission due to advanced primiparous, precious fetus, premature rupture of membranes in the lower uterine spinal cord cesarean section. Surgery see amniotic fluid clear, umbilical cord around the neck a week, the fetal position LOT. Fetal delivery smooth, weight 3.5kg, no asphyxia. After the baby is delivered, the placenta begins to be manually dissected. Placenta attached to the anterior wall of the uterus, the lower edge of the parallel incision, placental stripping is still smooth, but the fetal membrane adhesion. In the process of pulling the fetus during the uterus pulls out, when the contraction of the uterus is poor, but