唐××,28岁,初孕,足月顺产一婴,胎盘自然完整娩出。检查阴道粘膜裂伤二处,肠线内缝。产后12小时左右,产妇诉胸闷、不适、有尿意,但不能解出。于导尿时发现阴道右侧壁有一血肿,深达穹窿部。取出血肿血块约100ml后用纱条填塞肿腔以压迫止血。导尿后保留导尿管。立即输入复方氯化钠、低分子右旋糖酐,2小时输入液体共2000ml,血压由输液前70/50回升到120/80。拟进行阴道壁裂伤缝合 Tang × ×, 28 years old, first trimester, term full-term infants, placenta naturally full delivery. Vaginal mucosal laceration check two, gut seams. About 12 hours postpartum, mothers complaint chest tightness, discomfort, urinary intention, but can not solve. Found in the catheterization of the right side of the wall when there is a hematoma, deep as fornix Department. Remove blood clots about 100ml filled with gauze swollen cavity to stop bleeding. Catheter retention catheterization. Immediately enter the compound sodium chloride, low molecular weight dextran, 2 hours to enter a total of 2000ml of liquid, blood pressure 70/50 before infusion back to 120/80. The proposed vaginal wall laceration suture