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患者,女,25岁,孕2产0,41~+孕周,自觉胎动减少一天,以胎儿窘迫,于1987年10月15日下午4时30分入院。体查:血压15.96/10.64 kPa(120/80 mmg),脉搏80次/分,胎心音140次/分,枕右前位,无产兆。肛查:宫口开大0.5cm,先露—1～0,当日晚8时至12时胎心均正常。10月16日凌晨1时突然胎膜破裂,继之阴道流血约300ml,色鲜红,胎心音消失,血压、脉搏无改变。B超诊断为死胎、胎盘早剥。胎盘位于子宫左侧壁,其下缘基底膜见液性暗区约4ml。再次肛查宫口开大1cm,先露—1～0,不规则宫缩,阴道流血未止,估计不能短期内分娩,立即行剖宫产术。娩出一男死婴,体重3700g,羊水清。胎盘附着于子宫体左侧壁,呈球拍状,母面无血块压迹,宫腔无凝血
Patients, female, 25 years old, pregnant 2, 0,41 ~ + gestational week, conscious fetal movement decreased one day to fetal distress, on October 15, 1987 at 4.30 pm admission. Physical examination: blood pressure 15.96 / 10.64 kPa (120/80 mmg), pulse 80 beats / min, fetal heart sound 140 beats / min, occipital right anterior, no symptoms. Anal examination: cervix open large 0.5cm, first exposed -1 to 0, the same day at 8 o’clock to 12:00 fetal heart rate are normal. At 1 o’clock on the October 16 sudden burst of fetal membranes, followed by vaginal bleeding about 300ml, bright red, fetal heart sound disappeared, blood pressure, pulse no change. B-ultrasound diagnosis of stillbirth, placental abruption. The placenta is located in the left wall of the uterus, the lower basement membrane see liquid dark area of about 4ml. Once again check the cervix to open large anal 1cm, first exposed -1 to 0, irregular contractions, vaginal bleeding has not yet estimated that short-term delivery can not be immediate cesarean section. A male and female childbirth, weight 3700g, amniotic fluid clear. Placenta attached to the left side of the uterus wall, was racket-like, mother without blood clots pressure trace, uterine no coagulation