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1病例报告患者女,30岁。因产后继发性闭经3年就诊。患者平素体健,3年前足月妊娠并在家自行分娩,胎儿娩出20min后胎盘仍不剥离,在徒手剥离胎盘过程中阴道持续大量出血,随之发生休克。急送当地卫生院抢救治疗,但未输血。产后无乳汁分泌,月经未复潮,伴毛发脱落。1年前开始出现乏力
1 case report Patients female, 30 years old. Because of postpartum secondary amenorrhea 3 years treatment. Patients with normal body weight, 3 years ago, full-term pregnancy and spontaneous delivery at home, the fetus after 20min delivery of the placenta is still not peeled off during the free hand stripping of the vaginal mass of the vagina sustained massive hemorrhage, followed by shock. Urgent delivery to the local hospital for rescue treatment, but no blood transfusion. No postpartum milk secretion, menstrual non-resurgence, with hair loss. A year ago began to appear weak