病历摘要患者27岁,因剖宫产后大出血、行子宫大部切除术后腹壁及盆腔感染并瘘管形成,于1983年3月25日入院。患者于1981年7月因过期妊娠第一胎,臀位巨大儿(4,500克),胎膜早破,妊娠高血压综合征,临产后胎儿宫内窘迫,在当地医院行子宫下段横切口剖宫产术。取胎儿时,宫壁切口左侧下方撕裂约5厘米,出血较多,以1号铬制肠线分两层连续缝合下段肌层后又包埋缝合浆膜层。术后肌注青、链 Patient history 27-year-old, due to post-cesarean section bleeding, abdominal and pelvic infections and fistula after subtotal hysterectomy, March 25, 1983 admission. Patients in July 1981 due to first trimester pregnancy, breech huge children (4,500 grams), premature rupture of membranes, pregnancy-induced hypertension, postpartum fetal distress in the local hospital line uterine incision cesarean section Production. Take the fetus, the left side of the uterine incision tear about 5 cm, more bleeding to No. 1, two-phase intestinal catgut continuous suturing two layers of muscle layer and then embedded suture serosa. Postoperative muscle injection of green, chain