incomplete uterine rupture cases（不完全子宫破裂的情况下）.docVIP

Incomplete uterine rupture cases Patients, female, aged 23, hospital number 10075. “Stop after 37 weeks, twins, scarred uterus, abdominal discomfort 1 week, with right upper quadrant pain worsened two hours on October 3, 2011 at 23:00 pm admission patients usually menstrual regularity, last menstrual period in January 2011 on the 13th, stop until after 40 days nausea, vomiting, and choose food early response by B ultrasound examination confirmed the early intrauterine pregnancy, menopause, three more than a month early response to alleviate menopause nearly five months conscious fetal gradually active since early pregnancy poison and radiation exposure history, no fever history, pregnant, late vaginal bleeding sap symptoms. menopause more than 36 weeks (a week ago, abdominal discomfort, left inter-district (left groin) pain gradually right upper quadrant pain in the September 28, 2011 when a routine pregnancy test to check blood pressure 140/80mnng (baseline blood pressure the 100/60mnng, edema (+ +), proteinuria (+, because the next day review of urinary protein ( -, no nausea and vomiting, dizziness and vertigo, and not hospitalized. at menopause 37 weeks, increase the left inter-district and right upper quadrant pain with nausea 2 hours of admission. previously healthy, had cesarean section, admission to check body: body temperature 36.3 ? C, pulse 86 beats / min, breathing 18 times / min, blood pressure 140/90mnng, moderate anemia, help into the ward, the mind clear, bilateral chemosis, clear lung breath sounds, heart valve auscultation area is not murmur, liver, spleen not palpable, abdominal distension was pregnant full-term abdominal, systemic edema (+ + + +) lower abdominal tenderness (uterine lower segment, the tenderness was not significant. obstetric examination: abdominal circumference 107 cm, fundal height 35 cm, fetal movement (+, fetal heart rate of 130 to 150 beats / min, palpable contractions 15-20 “/ 5-6 ‘weak strength, pelvic measurement of th