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患者33岁,住院号1505。妊娠34周伴剧烈腹痛12小时住院。孕3产2,3年前第二胎产后因胎盘残留行刮宫术。检查:患者面色苍白,呼吸急促,烦躁不安。Bp9.33/6.67kPa(70/50mmHg),P130次/分,细弱,R28次/分。腹部膨隆,腹肌紧张,腹部有压痛及反跳痛,移动性浊音叩不清,胎心音未听到。初步诊断,胎盘早剥。立即行剖宫产术,术中见腹腔内积血3000ml,子宫表面未见裂口。行子宫下段横切
Patient 33 years old, hospital number 1505. 34 weeks of pregnancy with severe abdominal pain 12 hours hospitalization. Pregnancy 3 2, 3 years ago after the second child due to placental residual curettage. Check: Patient pale, shortness of breath, irritability. Bp9.33 / 6.67kPa (70 / 50mmHg), P130 beats / min, weak, R28 beats / min. Abdominal bulging, abdominal muscle tension, abdominal tenderness and rebound tenderness, unclear mobility dull sound, fetal heart sound did not hear. Initial diagnosis, placental abruption. Immediate cesarean section, intraoperative intraperitoneal blood see 3000ml, uterine surface no gap. Line lower uterine transection