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患者29岁,住院号(79)3316。1979年4月8日因妊娠32周,突然无痛性阴道大量流血二小时入院。患者孕3产1,末次月经1978年8月8日。闭经6个月以来,曾有多次无痛性阴道流血。于入院前2小时因大量流血至当地医院求治,仅注射止血剂转来我院。既往身体健康,足月产1次,人工流产2次。月经周期均正常。检查:一般情况欠佳,脸色苍白,体温36℃,血压50/30毫米汞柱,脉搏92次/分,心肺正常,肝脾未能触及,腹软,宫底脐上二横指,无宫缩,先露头,浮动,胎心148/次/分。阴道大量流血,衬裤被血湿透,当时出血约400毫升,与入院前出血量估计共约1500毫升以上。实验室检查:血红蛋白5克%,白细胞11200,尿常规正常。入院后因已初步诊断为中央性前置胎盘,患者正处于休克中,末作阴道检查,即予大量输血抗休克。并在局麻下行体部剖宫取胎术。取出女活婴,体重
Patient 29 years old, hospitalization (79) 3316. April 8, 1979 due to 32 weeks of gestation, a sudden painless vaginal bleeding a large number of two hours to hospital. 3 patients with pregnancy 1, the last menstrual August 8, 1978. Since amenorrhea for 6 months, there have been multiple painless vaginal bleeding. Two hours before admission due to a large number of bleeding to the local hospital for treatment, only injection of hemostatic agents transferred to our hospital. Past physical health, full-term 1, 2 abortion. Menstrual cycle are normal. Check: poor general condition, pale, body temperature 36 ℃, blood pressure 50/30 mm Hg, pulse 92 beats / min, normal heart and lung, liver and spleen failed to reach, abdomen soft, Shrink, first outcrop, floating, fetal heart rate 148 / time / min. A large number of vaginal bleeding, pants under the blood soaked, was about 400 ml of bleeding, and pre-admission estimated total about 1500 ml of blood loss. Laboratory tests: hemoglobin 5%, white blood cells 11200, urine normal. After admission because of the initial diagnosis of central placenta previa, the patient is in shock, the last for vaginal examination, that is, a large number of anti-shock blood transfusion. And under local anesthesia cesarean fetus fetus surgery. Remove the female live baby, weight