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患者,37岁,住院号797572。因妊娠8月余腹痛腹胀4天急诊入院。既往初胎自然流产,第4、5胎流产不全,均经清宫,第2胎足月剖宫产,第3、6胎足月顺产,均因胎盘粘连而清宫。体检:体温、呼吸正常,P92次/分,Bp106/70mmHg,下肢浮肿(+～++),浅表淋巴结无肿大,心肺(-)。腹部极度膨胀高达剑突,腹围99cm,宫底界限不清,上腹部叩诊鼓音,肠鸣稀弱,满
Patient, 37 years old, hospital number 797572. Due to pregnancy in August more than four days abdominal pain abdominal distension emergency admission. Past abortion spontaneous abortion, the first 4,5 abortion incomplete, both by the palace, the second full-term cesarean section, the first 3,6 full-term pregnancy, due to the placenta adhesion and the Qing. Physical examination: body temperature, normal breathing, P92 / min, Bp106 / 70mmHg, lower extremity edema (+ ~ + +), superficial lymph nodes without swelling, cardiopulmonary (-). The abdomen is extremely swollen up to the xiphoid, abdominal circumference 99cm, the palace floor is unclear, the upper abdomen percussion drum sound, bowel weakness, full