病历介绍患者李××,女,25岁。因产后腹部膨隆疼痛来院就诊。患者8天前在当地卫生所正常分娩一健康女婴,产后4小时自觉有尿,曾自行排出少量尿液,且有排尿困难。以后,腹痛持续性加剧,腹部逐渐膨大,再无尿意。因当地接生员(乡村医生)诊断为双胎,认为腹内尚有一胎未娩出,不能处置,乃于1989年8月10日急诊入院。体格检查:意识清楚,表情痛苦,大汗淋漓,强迫体位,智力迟钝。心肺正常。腹部膨大,腹围110厘米,行动极度困难。触诊全腹压痛,未触及胎体。叩之实音,未听到胎音。 Patient Li × ×, female, 25 years old. Abdominal swelling due to postpartum pain to the hospital. The patient gave birth normally to a healthy baby girl at a local health clinic 8 days ago. She felt spontaneously 4 hours after giving birth and had discharged a small amount of urine on her own, and had difficulty urinating. Later, abdominal pain continued to intensify, the abdomen gradually enlarged, no urine intention. Due to a local birth attendant (village doctor) diagnosed with twins, that there is still a birth abdomen was not delivered, can not be disposed of, was in August 10, 1989 emergency admission. Physical examination: Consciousness, facial expression pain, sweating, forced position, mental retardation. Cardiopulmonary normal. Enlarged abdomen, abdominal circumference 110 cm, extremely difficult action. Palpation abdominal pressure, did not touch the carcass. Knocking the real tone, did not hear the fetal tone.