病历摘要见第3期147页。临床讨论一、妊娠晚期急腹症①胎盘性:胎盘早期剥离。②创伤性:子宫破裂或腹腔其他脏器穿孔、破裂及出血。③炎症性:并发阑尾炎或盆腔炎。④肿瘤性:并发卵巢肿瘤蒂扭转、破裂或子宫肌红色变性,并发盆腔恶性肿瘤。二、主要诊断①穿透性植入性胎盘,血管破裂;②出血性休克;③术后子宫缝合出血,粘连性不 See the third issue, p. 147, for the medical record. Clinical discussion First, the acute abdomen during pregnancy ① placental: early placental detachment. ② traumatic: uterine rupture or peritoneal other organs perforation, rupture and bleeding. ③ inflammatory: concurrent appendicitis or pelvic inflammatory disease. ④ neoplastic: concurrent ovarian tumor torsion, rupture or red muscle degeneration, complicated by pelvic malignant tumors. Second, the main diagnosis ① penetrating placenta accreta, rupture of blood vessels; ② hemorrhagic shock; ③ postoperative uterine suture hemorrhage, adhesion is not