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病者龚××,女,30岁,农民。孕2产1。第一胎足月妊娠于1972年行子宫体切开剖腹产术,术后伤口化脓感染。本次妊娠9个月时,有下腹阵痛,脐下瘢痕处于每次腹痛时即有一肿物膨出,伴发热38℃。入当地医院诊治,诊断为腹壁脓肿,作切开引流术,术时排出大量液体,探不到底部,考虑与子宫相通,给予凡士林填塞后转我院。入院后体温37.5℃,血压100/70。子宫底高剑突下3横指,胎位为左骶横位,胎心音152次/分,间有子宫收缩。肛查子宫颈口未开,下腹见手术瘢痕,右侧脐旁有一2厘米长
Patient Gong × ×, female, 30 years old, farmer. Pregnancy 2 production 1. Full-term first-term pregnancy in 1972 underwent uterine incision cesarean section, postoperative wounds purulent infection. The 9-month pregnancy, lower abdomen pain, umbilical scar in each abdominal pain that has a bulge, with fever 38 ℃. Into the local hospital diagnosis and treatment of abdominal abscess, for drainage and drainage surgery, a large number of fluid discharge, exploration can not find the bottom, consider communicating with the uterus, give Vaseline stuffed hospital. After admission, body temperature 37.5 ℃, blood pressure 100/70. Hicus at the end of the uterine understress 3 horizontal refers to the cross, the fetal position for the left sacral transverse fetal heart sound 152 times / min, uterine contraction between. Anal check cervix is not open, see the lower abdomen scar surgery, next to the right umbilical a 2 cm long