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例1,48岁,孕_8产_5。患者停经5个月。于停经40天,始有恶心、调食早妊反应。妊期以来无阴道出血,无腹痛。1982年1月23日住院行羊膜腔雷夫奴尔引产失败,在引产的第八天寒颤、高烧、诊断“胎死宫内感染”。做钳刮术,发现宫颈管短,几乎消失,宫口很松,可以顺利通过12号扩宫器及大圆头胎盘钳。一进宫口,便可触及胎盘样组织,宫体相当于妊娠5个月大小,手术一开始就发生大出血,应用宫缩剂不能止血,即刻剖腹探查。术中见子宫体8.5×6cm,下部膨大如孕19周大小,
Example 1,48 years old, pregnant _8 production _5. Menopause 5 months. In menopause 40 days, began to nausea, premature ejaculation response. No vaginal bleeding since pregnancy, no abdominal pain. January 23, 1982 hospitalization of amniotic cavity Levu Er induction failure, the eighth day in induced labor shivering, fever, the diagnosis of “fetal death” intrauterine infection. Do clamp curettage and found that the cervical canal is short, almost disappeared, the cervix is very loose, you can successfully through the 12 dilator and large round placental pliers. Into the cervix, you can reach the placenta-like tissue, the body is equivalent to the size of 5 months of pregnancy, bleeding occurred at the beginning of surgery, uterine contractions can not stop bleeding, immediate laparotomy. Intraoperative see uterine body 8.5 × 6cm, the lower part of the enlargement, such as pregnancy 19 weeks size,