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患者52岁,农民。该患系原发性不孕症,已闭经2年。以下腹包块且逐渐长大来院就诊。经检查为妊娠28周。2个月后因妊娠晚期无痛性阴道流血4小时而急诊入院。查体:神志清,呈严重贫血貌,T、P、BP均正常。子宫底剑突下三指,扪诊无宫缩,儿头下方,未入盆,胎心音良好。阴道检查宫口开大2cm,可触及胎盘组织。化验:Hb5.5g WBC11,600。以高龄初产、珍贵儿、前置胎盘,行急诊剖宫产术。术中取出一男活婴、体重2500g。新生儿青紫窒息,经抢救存活。术中见胎盘附着在子宫前壁下段。胎儿娩出后宫缩不良,用纱布
Patient 52 years old, farmer. The affected line of primary infertility, amenorrhea for 2 years. The following abdominal mass and gradually grow up to hospital. After checking for 28 weeks of pregnancy. Two months later due to painless vaginal bleeding in the third trimester of pregnancy and emergency admission. Examination: Consciousness, severe anemia appearance, T, P, BP are normal. Uterine at the bottom of the three fingers under the sword, palpation without contractions, under the head, not into the basin, fetal heart sound good. Vaginal examination cervix open large 2cm, palpable placental tissue. Assay: Hb5.5g WBC11,600. To early primiparous, precious children, placenta previa, emergency cesarean section. Remove a male intraoperative abortion, weight 2500g. Newborns purple suffocation, survived by the rescue. See intraoperative placenta attached to the lower anterior wall of the uterus. Uterine contractions after delivery of the fetus, with gauze