论文部分内容阅读
例1.31岁,住院号46978。孕4产2,妊娠33周,近两周腹部增大明显,呼吸不畅。1987年9月26日出现规律宫缩,3小时后破水并脐带脱出,胎头及两上肢娩出后,牵拉躯干不下,转至本院。B 超检查:胎儿腹部见大面积液性暗区,宫腔内有少量羊水。初步诊断胎儿腹水,躯干难产。术者向右牵引已娩出之胎头,用阴道拉钩向左拉开阴道壁及宫颈左唇以暴露胎胸,剪开胸骨柄上方皮肤,用穿颅器经胸腔穿通横膈进入腹腔,见有黄褐色腹水大量涌出后(计1500ml),即牵出躯干及下肢,胎盘完整娩出。胎儿右下肢较左侧短5cm,右足并趾畸形。产妇健康出院。例2.26岁,住院号13680。孕2产1,妊娠42周。1988年1月29日胎头及上肢娩出后,胎体不能娩出转入我院。患者孕早期曾因消瘦,全身皮肤发黄、食欲不振诊为“肝炎”,孕5个月时全身曾有团块状皮疹,一周后好转。但经常患单纯性疱疹。入院后在全
Example 1.31 years old, hospital number 46978. Pregnancy 4 2, 33 weeks of gestation, the abdomen increased significantly in the past two weeks, poor breathing. September 26, 1987 regular contractions, broken water and 3 hours after the umbilical cord prolapse, fetal head and upper extremities after delivery, stretching the torso, transferred to our hospital. B-ultrasound: Fetal abdomen see a large area of liquid dark area, a small amount of intrauterine amniotic fluid. Preliminary diagnosis of fetal ascites, torso dystocia. Surgery to the right traction has been delivered by the fetal head, with the vaginal pull hook to the left to open the vaginal wall and the left cervical lip to expose the fetal chest, cut the skin above the sternum stem with transcranial diaphragmatic transcatheter device through the peritoneal cavity, see A large number of yellow-brown ascites after pouring (total 1500ml), that is, pull out the trunk and lower extremities, the placenta was delivered. Fetal right lower limb shorter than the left 5cm, right foot and toe deformity. Maternal health discharge. Example 2.26 years old, hospital number 13680. Pregnancy 2 1, 42 weeks of pregnancy. January 29, 1988 fetal head and upper limbs after delivery, the carcass can not be delivered into our hospital. Early pregnancy due to weight loss, yellow skin, loss of appetite diagnosed as “hepatitis”, 5 months pregnant when the body had a mass rash, a week later improved. But often suffer from herpes simplex. After admission in the whole