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1病例报告患者女,28岁。因停经40+3周,下腹阵发性疼痛伴阴道大量出血3h,入院就诊。4年前在外院行下腹纵切口剖宫产1次。查体:体温36.5℃,呼吸21次/min,脉搏168/min,血压60/40mmHg。休克面容,呼之能应,肺部未闻及干湿性啰音。产科检查:腹围108cm,宫高32cm,胎位不清,未监测到胎心率,宫缩消失,触腹壁疼痛明显。初步诊断为瘢痕子宫及失血性休克。
A case report patient female, 28 years old. Due to menopause 40 + 3 weeks, lower extremity paroxysmal pain associated with massive vaginal bleeding 3h, admission to hospital. 4 years ago in the lower abdomen abdominal incision cesarean section 1. Physical examination: body temperature 36.5 ℃, breathing 21 times / min, pulse 168 / min, blood pressure 60 / 40mmHg. Shock face, the call can be, the lungs have not heard of wet and dry rales. Obstetric examination: abdominal circumference 108cm, 32cm high palace, fetal position is unclear, fetal heart rate was not detected, contractions disappear, palpable abdominal pain. Initial diagnosis of scar uterus and hemorrhagic shock.