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患者,女,19岁,于2013年9月8号早晨7点以“G1P0孕34周,胎死宫内,胎盘早剥,失血性贫血”收住我科。入院查体:BP 90mmHg/60mmHg。贫血貌,腹膨隆,如孕8个月大,肝脾未触及肿大。产科检查:腹围90cm,宫高25cm,臀位,无胎心,宫缩不规则,宫口开1cm,胎膜已破,宫颈成熟评分3分,阴道内少量流血。骨盆测量无异常,血细胞分析:WBC:16×109/L,RBC:3.41×1012/L,HB:7.20g/L。B超示:
Patients, female, 19 years old, at 7 o’clock on the morning of September 8, 2013 with “G1P0 pregnant 34 weeks, fetal death, placental abruption, hemorrhagic anemia,” admitted to our department. Admission examination: BP 90mmHg / 60mmHg. Anemia appearance, abdominal bulging, such as pregnancy 8 months old, liver and spleen did not touch swollen. Obstetric examination: abdominal circumference 90cm, 25cm high palace, breech, no fetal heart rate, uterine contractions irregular, cervix open 1cm, fetal membranes have been broken, cervical maturation score 3 points, a small amount of vaginal bleeding. No pelvic abnormalities were observed. Hematology analysis: WBC: 16 × 109 / L, RBC: 3.41 × 1012 / L, HB: 7.20g / L. B super show: