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1 病例介绍患者46岁,1997年3月15日前来我站门诊行中期引产,经门诊检查及各项检验正常后,以孕三产一孕16周中期引产收入院.下午3时行利凡诺引产腹部消毒后,经羊膜腔内注入100ml,术后无不良反应,术后25个小时出现不规律宫缩,无阴道流血,子宫无压痛,宫体轮廓清.于19日上午10时自然破膜,破膜后胎儿顶部露于阴道口5分钟儿头娩出,且与颈部分离,未见躯干及四肢娩出,20分钟仍未见胎盘及附属物排出,常规消毒后行钳刮术,胎盘附着宫体后壁,用卵圆钳夹出全部胎盘组织,未探及躯干及四肢,术中阴道流血量 100ml左右.产科检查一般状态良好,无贫血外观,体温36.3℃,脉搏80次/分,血压16/12kPa.腹部检查宫底脐耻
1 Case description The patient was 46 years old, March 15, 1997 came to my station outpatient mid-term labor, after out-patient examination and the test is normal, the third trimester of pregnancy 16 weeks induction of labor to midwifery. Novo Induction abdomen disinfection, the amniotic cavity by the injection of 100ml, no adverse reactions after surgery, 25 hours after the onset of irregular contractions, no vaginal bleeding, no tenderness in the uterus, Palace clear body contour. At 19:00 on the morning of 10 natural Rupture of the diaphragm, rupture of the fetus at the top of the vagina exposed vagina mouth 5 minutes of childbirth and separation with the neck, no torso and limbs were delivered, 20 minutes have not yet been discharged placenta and appendages, routine disinfection of forceps curettage, Placenta attached to the posterior wall of the uterus, with oval clamp out all of the placenta, not to explore the trunk and limbs, intraoperative vaginal bleeding was about 100ml. Obstetric examination in general good condition, anemia-free appearance, body temperature 36.3 ℃, pulse 80 beats / Points, blood pressure 16 / 12kPa. Abdominal examination Umbilical umbilical shame