患者28岁,41孕周,第1胎,均小骨盆。腰腹部阵痛36小时,自然破膜21小时,胎动消失12小时,于1987年5月21日入院。查体:136℃,P104次/分,Bp13.8/9.3kPa(104/70mmHg)。贫血貌,腹肌紧张,子宫轮廓不清,但可见位于耻上的病理性子宫收缩环,子宫下段压痛明显,胎心音未听到。诊断:子宫破裂。立即在抗休克治疗的同时,行紧急剖 Patients 28 years old, 41 gestational weeks, the first child, are small pelvis. Waist and abdomen painful 36 hours, natural rupture of membranes 21 hours, fetal movement disappeared 12 hours, on May 21, 1987 admitted. Examination: 136 ℃, P104 beats / min, Bp13.8 / 9.3kPa (104 / 70mmHg). Anemia appearance, abdominal muscle tension, uterine outline is unclear, but visible in shame on the pathological uterine contractions ring, lower uterine tenderness significantly, fetal heart sound did not hear. Diagnosis: Uterine rupture. Immediately in the anti-shock treatment at the same time, emergency dissection