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患者,女,30岁,因停经8个月,不规则腹痛5~+小时,于1991年5月1日入院。病人于15年前因足月妊娠、胎膜早破、胎儿窘迫、相对性头盆不称而行子宫下段剖宫产术,术后继发感染,恶露呈脓性,术后4天皮肤切口裂开,经抗炎治疗40天痊愈。15年来共受孕4次,每次都在停经40～60天间自然流产。平日月经规律,此次停经8~+月,不规律腹痛5~+小时,宫口开全2~+小时,由镇医院转来我院。一般情况好,贫血貌,心肺(一),下腹部可见陈旧性手术瘢痕。宫底高27cm,子宫轮廓清,宫缩欠佳,胎心好,宫口开全,头先露,双顶径达“0”位,即在严密监护下给5％葡萄糖500ml+催产素5u静脉滴注,半小时后胎心
Patient, female, 30 years old, due to menopause 8 months, irregular abdominal pain 5 ~ + hours, on May 1, 1991 admission. 15 years ago due to full-term pregnancy, premature rupture of membranes, fetal distress, relative lack of head basin line cesarean section under the uterus, secondary infection after surgery, lochia was purulent, 4 days after skin incision Split open, cured by anti-inflammatory treatment for 40 days. Over 15 years of pregnancy 4 times, each time in 40 to 60 days after menopause spontaneous abortion. Weekdays menstrual regularity, the menopause 8 ~ + month, irregular abdominal pain 5 ~ + hours, cervix open all 2 ~ + hours, transferred from the town hospital to our hospital. In general, anemia appearance, heart and lung (a), the lower abdomen visible old surgical scars. 27cm high at the end of the palace, the uterus clear outline, poor contractions, good fetal heart, cervix open all the first first dew, biparietal diameter of the “0” position, that is, under strict surveillance to give 5% glucose 500ml + oxytocin 5u vein Instillation, half an hour after fetal heart rate