妊娠中晚期因胎盘早剥、前置胎盘而致阴道流血者常见,而自发性腹直肌血肿者罕见,我院收治1例报告如下:患者陈某,女,40岁。因妊娠10月余下腹部持续性疼痛7小时,于1989年2月3日入院。患者平时月经正常,孕期无异常。于入院前7小时无任何诱因突然下腹部疼痛并逐渐加重,以致不能忍受,不伴恶心、呕吐,胎动无改变未作治疗来我院急症住院,病前无外伤史,孕10产7末次月经1988年8月9(+)。查体:T36.8℃,P75次/分,R18次/分,BP20/13.3kPa,发育正常,痛苦表情,无皮疹及出血点,心肺听诊无异常,腹部膨隆,无腹壁静脉曲张,无 Late pregnancy due to placental abruption, placenta previa caused by vaginal bleeding are common, and spontaneous rectus abdominis hematoma rare, admitted to our hospital as one case reported as follows: Patient Chen, female, 40 years old. Due to persistent pregnancy in October, the remaining abdominal pain for 7 hours, on February 3, 1989 admission. Normal menstruation usually normal pregnancy without exception. 7 hours before admission without any incentive Suddenly lower abdominal pain and gradually increased, so can not tolerate, not with nausea, vomiting, fetal movement without change to treat hospital emergency hospitalization, no history of trauma before pregnancy 10 7 last menstruation August 1988 9 (+). Physical examination: T36.8 ℃, P75 beats / min, R18 beats / min, BP20 / 13.3kPa, normal development, painful expression, no rash and bleeding points, no cardiopulmonary auscultation, abdominal bulging, no abdominal varicose veins, no