侯××,29岁,住院号311。孕5产2,因孕40周,子宫阵缩7小时入院。末次月经1985年4月10日,预产期1986年1月17日。孕期未作过检查,孕8~+月时曾因劳动,突然腹疼难忍,似撕割样,持续数小时,不治自愈,无阴道流血,自感有胎动。1978年因第一胎孕足月,横位,前置胎盘,于当地卫生院行古典式剖宫产,娩一活女婴。1980年第二胎足月临产后,子宫破裂,失血休克、亦于卫生院剖腹探查,发现子宫非原切口破裂,而是下段横裂,娩出一死女婴,行子宫修补术。于1983年2月及1984年10月早孕人流各一次。体检:Bp110/70mmHg,P86次/分,腹部横椭圆形,宫底脐 Hou × ×, 29 years old, hospital number 311. Pregnancy 5 2, 40 weeks pregnant, uterine contraction 7 hours admission. The last menstrual period April 10, 1985, the expected date of January 17, 1986. Pregnancy has not been examined, pregnant 8 ~ + month because of labor, suddenly unbearable abdominal pain, like tear cut like, for several hours, healed, no vaginal bleeding, self-induced fetal movement. In 1978 due to the first full-term pregnancy, transverse, placenta previa, at the local hospital classical cesarean section, giving birth to a live baby girl. In 1980 the second child full-term postpartum labor, uterine rupture, hemorrhagic shock, also in the laparotomy of the hospital, found that uterine incision non-original incision, but the lower transverse rupture, delivered a dead baby girl, uterine repair line. In February 1983 and October 1984 early pregnancy flow once. Physical examination: Bp110 / 70mmHg, P86 times / min, abdominal horizontal oval, umbilical