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1.病例介绍 患者30岁,住院号77277,因产后30小时,阴道有一肿物脱出3小时伴头晕,腹痛,于1999年10月23日入院。患者于30小时前在家中足月分娩一女婴,半小时后由其家属协助娩出胎盘,查体:体温36.5℃,脉搏90次/分,呼吸22次/分,血压14/10KPa,面色苍白,心肺未见异常,肝脾未及。妇科检查:宫体耻上未及,外阴部可及一约儿头大小肿物,表面污秽粗糙,并见凝血物覆盖,触之质软,有收缩感,牵引时感疼痛,阴
1. Case description Patient 30 years old, hospital number 77277, 30 hours postpartum, a swollen vagina with 3 hours with dizziness, abdominal pain, admitted to hospital on October 23, 1999. The patient gave birth to a full-term baby girl at home 30 hours prior to her birth and was assisted by her family to deliver the placenta half an hour later. Body temperature 36.5 ° C, pulse 90 beats / min, respiration 22 beats / min, blood pressure 14/10 KPa, pale No cardiopulmonary anomalies, liver and spleen not yet. Gynecological examination: palace body shame not yet, the genitals can be about the size of the child head and shoulders, surface roughness, and see the clot covered, soft touch, a sense of contraction, traction when the pain, Yin