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患者29岁,已婚,孕3产2。停经14周,下腹阵发性胀痛3天入院。检查:轻度贫血貌,耻骨联合上5cm 处可触及宫底,压痛不明显。化验:Hb100g/L,WBC9.8×10~(?)/L。入院后保胎治疗,第4天突然腹痛腹胀,面色苍白,全身冷汗。当时测Bp80/50mmHg。全腹明显压痛及反跳痛,宫底触不清,移动性浊音(+)。Hb20g/L,腹穿抽出不凝血10ml。剖腹探查术中见子宫手拳大小,右角破裂,裂口处凸出一手拳大紫色胎囊,囊内有14周大小之死胎一个,子宫破
Patient 29 years old, married and pregnant 3 2. Menopause for 14 weeks, the lower abdomen paroxysmal pain 3 days admitted. Check: mild anemia appearance, pubic symphysis can reach the bottom of the palace 5cm, tenderness is not obvious. Laboratory: Hb100g / L, WBC9.8 × 10 ~ (?) / L. After admission, miscarriage treatment, abdominal pain day 4 sudden abdominal distension, pale, cold sweat. At that time measured Bp80 / 50mmHg. Apparently tenderness and rebound tenderness in the whole abdomen, palpable pudendal motility, dullness of movement (+). Hb20g / L, abdominal wear out without clotting 10ml. See laparotomy in the uterus hand punch size, right corner of the rupture, a large hand at the gap at the mouth of a large purple fetal capsule, the capsule has a 14-week-old size of a stillborn fetus, uterine rupture