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患者32岁,住院号51190。因妊娠392/7周持续性腹痛12小时于1987年11月3日入院。患者临产后,当地医院曾用“催产剂”,用药后1小时40分钟突然出现下腹撕裂样剧痛而后宫缩停止,腹痛有所缓解即转入我院。查体:痛苦表情,轻度贫血貌,腹肌紧张,全腹有压痛反跳痛,子宫轮廓及胎心胎位不清。Hb95g/L.WBC17.8×10~(?)/L,S0.78,L0.22。拟诊子宫破裂,行剖腹探查术。术中见一孕足月大小死胎及胎盘已排入腹腔,子宫下段纵形破裂延及阴道,子宫裂口长约6cm;子宫左侧有一20×15×10cm 大小卵巢肿瘤嵌顿子盆
Patient 32 years old, hospital number 51190. Persistent abdominal pain for 392/7 weeks of gestation was admitted on November 3, 1987 for 12 hours. Patients after labor, the local hospital had used “oxytocin”, 1 hour and 40 minutes after treatment suddenly appeared abdominis tear-like pain and then stop contractions, abdominal pain was relieved into our hospital. Physical examination: painful expression, mild anemia appearance, abdominal muscle tension, tenderness and tenderness in the abdomen, uterine contour and fetal heart rate unclear. Hb95g / L.WBC17.8 × 10 ~ (?) / L, S0.78, L0.22. Tentative diagnosis of uterine rupture, laparotomy exploration. Intraoperative see a full-term fetal death and placental size have been discharged into the abdominal cavity, lower longitudinal uterine rupture and vaginal extension of the uterine cleft length of about 6cm; left uterine ovarian tumor size of 20 × 15 × 10cm incarcerated child basin