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患者21岁,住院号24450.足月妊娠,腹痛3天.腹痛后在当地乡卫生院,行多次内诊检查,产程无进展,患者出现高热,恶心呕吐,继之昏迷,转入我院.查体:T37.1℃,P150次/分,Bp66.7/4.00kPa.呼吸急促,双肺呼吸音粗糙,神志不清,躁动不安,面色苍白.腹部膨隆,子宫底位于剑突下2cm,无胎心音.阴道有血性分泌物及大量恶臭气体溢出,宫口开4cm.化验:RBC1.8×10~(12)/L,Hb50g/L,WBC28×10~(?)/L,5 0.90,L0.30.阴道分泌物涂片,查到粗大芽胞杆菌.入院诊断:①足月妊娠死胎并气性坏疽;②中毒性休
The patient was 21 years old, hospital number 24450. Full-term pregnancy, abdominal pain for 3 days after abdominal pain in the local township hospitals, line multiple in-line examination, labor progress, patients with fever, nausea and vomiting, followed by coma, transferred to our hospital . Examination: T37.1 ℃, P150 beats / min, Bp66.7 / 4.00kPa. Shortness of breath, lungs rough breathing sounds, restlessness, pale. Abdominal bulge, the bottom of the uterus in the xiphoid 2cm , No fetal heart sound.Vaginal bloody secretions and a large number of foul gas spills, cervix open 4cm.Experiment: RBC1.8 × 10-12 / L, Hb50g / L, WBC28 × 10 ~ (?) / L, 5 0.90, L0.30. Vaginal discharge smear, check Bacillus megaterium. Admission diagnosis: ① term fetal stillbirth and gas gangrene; ② toxic Hugh