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Six hours after cesarean section in the treatment of a case of vaginal bleeding


: O0 when the hospital. Search contraction rule fetal heart tones of 140 beats / min, cervix lem, first exposed to 2 Stagnation due to the second stage, it was decided at 8:30 am with epidural anesthesia in the lower uterine segment cesarean section, intraoperative fetal head position due to deep, the surgeon hold up his right hand into the uterine incision below the children head to the right occipital transverse Go right occipital anterior position, the baby was delivered alive. Human placental membranes stripped integrity, poor uterine contractions, oxytocin Palace 2Ou, tearing down the left side of the uterine incision found about 3em, bleeding edge is not the whole, no active bleeding I students. I, catgut to suture the tear, after a row, but also continuous suture incision, the uterus is still shrinking; Palace again oxytocin lO given anti-infection treatment of postoperative bleeding and postoperative blood pressure lO/6kpa. in six hours after viewing, nausea, irritability and dry mouth, poor uterine contractions investigation. fundus umbilical finger, press the palace about the end of the vaginal blood clots out of plot 500ml. observe the blood pressure continued to decline, showing shock, blood pressure, to lose blood 400ml, correct shock, blood pressure does not rise, the uterus does not shrink. line within the patient remove the bureaucratic blood in 600ml, parallel paracentesis technique, not tied the blood, check hemoglobin 2. 6g. decided to rescue the side of blood, while by the original incision into the abdominal exploration, see the uterus, such as 4 months pregnant, was flat-shaped stroke point, no pelvic blood; see, however, the left side of the uterus broad ligament, was a about 8 × 6 × 4em, large hematoma; uterine serosa and muscle stripping, no active bleeding. The Palace massage, hot saline gauze, the uterus does not shrink, that is, subtotal hysterectomy. rescue for 10 hours, blood loss total 1600ml, blood volume 2200ml, 8 天 mother discharged. to discuss the cases of the lower uterine segment cesarean section lines cross thousand doors, cut the low din bit, take the fetal head difficult, so that the lower uterine segment incision down the left side tear 3em; too deep due to suture excessive uterine vascular damage caused by the troubles. Therefore, the patients not only have skilled doctors technique, but also to master the correct choice of surgical principles, improve surgical skills of the whole cervix, fetal head deeply embedded, difficult to estimate who the baby is delivered may consider the classical incision, incision extended to avoid tearing. Meanwhile, the anatomical relationship between the press tearing incision also after the suture proper involution, such as the incision with active bleeding vessels should be clamped, after ligation hemostasis; otherwise not formed to stop bleeding from the incision edge of the hematoma, resulting in uterine contractions and heavy bleeding is not. (Continued from page 15) Plant residential areas should focus on tree, shrub and grass plant communities in the stratified structure of the building to maximize unit area green volume, play eco-efficiency and function, increased ecological role. green residential area, while emphasizing the layout, but also in vertical focus on trees and shrubs and ground cover plants and grass with a hierarchical structure, both for plant the resistance, but also to the variety of ecological effects, should be in the overall layout of the space environment throughout a wide range of agreement to form a small balance of the ecosystem see the big special I students. to use more kinds of flowers, plants and vines were walls, the balcony of green, the color of, and full use of all landscaping in the form of flowers to decorate and enrich the landscape of space in residential area, and create a comfortable and pleasant,[link widoczny dla zalogowanych], natural and harmonious living space.