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患者宋文芝,24岁。孕2产1,妊娠39~+6周。因停经9~+月,陈发性腹痛3~+小时,于1994年4月13日10 (10)/(am)入院。妊娠早期自觉无异常。妊娠18周感胎动,妊娠30周行B型超声检查,诊断为正常妊娠,入院检查:体温36.8℃,脉膊80次/分,呼吸20次/分,血压13.5/9kpa,水肿(—)。宫高+腹围150cm,枕右前位,胎心率124次/分,胎头半固定。肛查宫口开大8cm,先露0—1。11 (40)/(am)产程进展缓慢,消毒内诊,宫口开大8~+cm。因宫缩较弱,给催产素2.5°加5％GS500ml静脉点滴,1 (15)/(pm)行人工破膜,羊水清,1 (45)/(pm)宫口开全,胎头拨
Song Wenzhi patients, 24 years old. Pregnancy 2 1, 39 ~ 6 weeks of pregnancy. Due to menopause 9 ~ + month, stubborn abdominal pain 3 ~ + hours, on April 13, 1994 10 (10) / (am) admission. Early pregnancy consciousness is normal. Pregnancy 18 weeks of pregnancy, 30 weeks of pregnancy underwent type B ultrasound examination, diagnosis of normal pregnancy, admission examination: body temperature 36.8 ℃, pulse 80 beats / min, breathing 20 beats / min, blood pressure 13.5 / 9kpa, edema (-). Palace high waist + abdominal circumference 150cm, occipital right front, fetal heart rate 124 beats / min, fetal head semi-fixed. Anal inspection cervix open large 8cm, first exposed 0-1.11 (40) / (am) progress of labor is slow, disinfection of the clinic, cervix open 8 ~ + cm. Due to contractions weaker to oxytocin 2.5 ° plus 5% GS500ml intravenous drip, 1 (15) / (pm) artificial rupture of membranes, amniotic fluid clear, 1 (45) / (pm) cervix open, fetal head dial