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患者××,27岁,门诊以足月妊娠入院,住院后行直切术顺利分娩一男婴.15分钟后,胎盘娩出,助产士检查胎盘发现有一约4×4cm的粗糙面,便行徒手剥离.探及宫腔后,触及宫腔内有一圆形肿物,质硬,约10×10cm大小,表面粗糙.考虑为粘膜下子宫肌瘤,待会阴缝合后,暂送病房观察.在此期间,患者阴道流血量较多,持续不断,色鲜红,给予子宫收缩剂后,效果不佳.一个半小时后,病人主诉头晕、胸闷、心慌,全身无力.查体,BP10/8kpa,P150次/分,R3次/
Patients × ×, 27 years old, out-patient hospitalized with full-term pregnancy, straight line resection of the hospital after a successful delivery of a baby boy .15 minutes later, the placenta was delivered, midwife check the placenta to find a rough surface of about 4 × 4cm, then line stripping. Exploration and the uterine cavity, touches the uterine cavity has a round tumor, hard, about 10 × 10cm size, surface roughness.Is considered for submucosal uterine fibroids, to be perineal suture, temporary delivery to the ward observation during this period, Patients with vaginal bleeding more, continuous, bright red, given the uterine contractility, the effect is not good .A half an hour later, the patient complained of dizziness, chest tightness, palpitation, general weakness. Physical examination, BP10 / 8kpa, P150 beats / min , R3 times /