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患者,26岁。G_2P_0孕37周临产,于1995年9月13日入院。腹阵痛6小时,无阴道流血及流水。腹部B超提示:胎儿无畸形,胎心音正常,羊水过多,胎盘成热度Ⅱ级。产前无皮肤粘膜出血史。入院化验血常规、尿常规等正常。1994年9月14日中午12时分娩一男婴,Apgar评分8′～10′,体重2500g,羊水呈血性量约2000ml,胎盘未见明显早剥面。产时出血量多约800ml,色鲜红,无血块。立即补液、纠酸、宫缩剂等治疗。产后血压11/6～12/7kPa。会阴Ⅰ°撕裂缝合,子宫收缩尚可,质地中等。因阴道流血仍较多,无疑血块,进一步探查宫颈无撕裂,宫腔无胎盘残留。产后立即复查盘常规等并给予输血400ml。复查血常规
Patient, 26 years old. G_2P_0 37 weeks pregnant labor, in September 13, 1995 admission. Abdominal pain for 6 hours, no vaginal bleeding and running water. Abdominal B-Tip: No fetal malformations, fetal heart sounds normal, too much amniotic fluid, placenta into heat level Ⅱ. Prenatal history of skin and mucous membrane bleeding. Hospitalized blood tests, urine and other normal. September 14, 1994 delivery of a baby boy at 12 o’clock, Apgar score 8 ’~ 10’, weight 2500g, amniotic fluid was bloody about 2000ml, placenta no obvious abruption surface. The amount of bleeding during labor more than about 800ml, bright red, no blood clots. Immediate rehydration, acid correction, contractions and other treatment. Postpartum blood pressure 11/6 ~ 12 / 7kPa. Perineal I ° suture suture, uterine contraction is acceptable, medium texture. Due to vaginal bleeding is still more, no doubt the blood clots to further explore the cervix without tearing, uterine cavity without placental residue. Immediately after delivery, review the routine and give blood 400ml. Review the blood routine