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病历摘要 患者女,29岁。住院号33552。因剖宫产术后29天,阴道大流血2小时,于1983年6月28日再次入院。患者第一次住院系第一胎足月妊娠,中度妊娠高血压综合征。经解痉、镇静、扩容等治疗好转,又先后行羊膜镜检查、剥膜、放置低位水囊加催产素静脉滴注引产。因胎膜早破致胎儿宫内窘迫而行子宫下段剖宫产术。术中切口两端无裂伤,肌层用2号铬制肠线连续缝合两层,未穿透蜕膜。术中出血不多。手术前一天已给青霉素预防感染,术后曾先后应用多种抗生素,但体温在38℃以上持续6天,白细胞13600个/mm~3。7天拆线,腹壁切口Ⅰ期愈合,子宫复旧好,恶露正常,术后15天出院。术后第24天突然发热,体温38℃～39℃,伴轻微的下腹疼痛。术后第29天无诱因阴道大量流血,伴血块共1000ml,自觉头昏目眩,
Patient history Female, 29 years old. Hospital number 33552. 29 days after cesarean section, vaginal bleeding for 2 hours, again in June 28, 1983 admission. The first hospitalization of patients with first-term full-term pregnancy, moderate pregnancy-induced hypertension syndrome. After antispasmodic, sedative, dilatation and other treatment improved, but also amniotic check, stripping the membrane, place the low water sac plus oxytocin intravenous drip induction. Due to premature rupture of membranes caused by fetal distress and lower uterine segment cesarean section. Intraoperative incision at both ends without laceration, muscle layer with No. 2 chrome intestinal continuous suturing two layers, did not penetrate the decidua. Small intraoperative bleeding. The day before surgery to penicillin to prevent infection, postoperative has been the use of a variety of antibiotics, but the body temperature over 38 ℃ for 6 days, white blood cells 13600 / mm ~ 3.7 days stitches, incision abdominal incision healing, good uterine involution , Lochia normal, 15 days after discharge. The first 24 days after the sudden fever, body temperature 38 ℃ ~ 39 ℃, with mild abdominal pain. Postoperative 29 days no incentive vaginal bleeding, with a total of 1000ml clot, consciously dizzy,