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曲某,女,26岁,2孕1产。因停经38周、阵发性腹疼10h,于1992—01—06上午10时急诊入院。入院时情况:血压16/10kPa、脉搏85次/分、体温36℃、呼吸20次/分。一般状态良,心肺正常。孕足月腹型巨大,测腹围123cm、宫高37cm,可闻及两个不同频率的胎心,枕左前:140次/分,枕右前:130次/分。宫缩较强:40秒/分,内诊检查:宫颈展平,宫口开全,已破膜,先露为头。入院诊断:2孕1产,孕38周,双胎:枕左前、枕右前。入院后5分种,自娩一活男婴,即刻Apgar评10分。断脐后测体重为4300g,身长为55cm.第一胎儿娩出后,子宫口缩为7cm,触及胞膜,第二胎先露仍为头,此时产妇宫缩减弱故
Qu Mou, female, 26 years old, 2 pregnant 1 production. Due to menopause 38 weeks, paroxysmal abdominal pain 10h, at 10 o’clock on the 1992-01-06 emergency admission. Admission conditions: blood pressure 16 / 10kPa, pulse 85 beats / min, body temperature 36 ℃, breathing 20 beats / min. General good condition, normal heart and lung. Pregnant with large abdominal abdomen, abdominal circumference measured 123cm, 37cm high palace, can be heard and two different frequencies of fetal heart, pillow left: 140 beats / minute, pillow right front: 130 beats / min. Contractions strong: 40 seconds / min, internal examination: flattening the cervix, open the cervix, has broken the membrane, the first dew for the head. Admission diagnosis: 2 pregnant and 1 birth, 38 weeks pregnant, twins: pillow left, pillow right front. 5 points after admission, since the delivery of a live baby boy, immediately Apgar 10 points. Weight measured after breaking the umbilical 4300g, length 55cm. After the first fetus was delivered, the uterine mouth contraction to 7cm, touching the cell membrane, the second child is still exposed for the first time, then the maternal contraction is weak