1 case of intrauterine impatient turn.docVIP

 PAGE \* MERGEFORMAT 8 1 case of intrauterine impatient turn [Keywords:] Uterus A medical record Patients, female, 24 years old, pregnant 2 years ago, producing 0,2 abortion once. 39 +6 weeks of gestation because of irregular abdominal pain 2 h, at March 16, 2008 admission, history of physical health, prenatal care during pregnancy were normal . Admission physical examination, in general, good, heart and lungs were normal, house high 33 cm, abdominal circumference 98 cm, cephalic presentation, fetal position LOA, fetal heart rate 136 times / min. ultrasonography: a single cephalic pregnancy, BPD 9.3 cm, amniotic fluid index 9.6 cm, posterior wall of the placenta in the uterus. blood, coagulation, ECG were normal. admission diagnosis: 39 +6 weeks of intrauterine pregnancy has produced the first child LOA trillion. March 16, 2008 the natural laws of contractions started at 13:00, the smooth progress of labor, the cervix was wide open after at 18:25 on March 16, 2008 by Yin Daoshun delivery of a baby boy, weighing 3 500 g, Apgar score 10 points, 10 min after signs of placental separation occurs, the patient breath holding force increases abdominal pressure, while delivery by pulling down the umbilical cord and placenta was delivered intact membranes, vaginal bleeding, more pain in patients with mild lower abdominal complaints, with a sense of falling, lower abdominal massage in the uterus immediately found that uterine contour is unclear, the misconception that poor uterine contraction, and immediately opened two intravenous access, given oxytocin infusion, after touching three fingers on the pubic symphysis uterus, because patients with muscle tension, does not touch on fundal depression, patients vaginal bleeding was persistent, and the gradual emergence of pale, blood pressure, heart rate, speed, mental irritability and other symptoms of hemorrhagic shock, post-natal 1 h P 110 times / min, BP 80/55 mm Hg, R 26 times / min, blood Hb test 58 g / L, total