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1.病例报告患者23岁,因“停经37+4周,阴道流水3+小时”于2012年12月15日18:52时入院。患者22岁结婚,G3P0+2,2011年3月人流1次,2011年12月稽留流产1次。Lmp2012-03-25,EDC2013-01-01。停经40+天出现恶心、呕吐等早孕反应,持续至孕3月消失,孕15+6周我院门诊产前建卡,未遵医嘱定期产前检查,仅产前检查3次,胎心、血压均正常。入院查体:生命体征平稳(BP 118/75mmhg),心肺无异常,腹膨隆,全腹无压痛,双下肢无水肿。产科检查:宫高32cm,腹围95cm,先露臀,胎方位LS,胎心130次/分,律齐,响亮。胎膜已破。肛查:先露-3以上,宫颈管容受100%,宫口未开,质中,位置中,宫颈评分5分。阴道口见清亮羊
1. Case report Patients 23 years old, because “” 37 + 4 weeks after menopause, vaginal water 3 + hours "at December 18, 2012 at 18:52 when admitted. The patient was married at age 22, G3P0 + 2, 1 flow in March 2011 and 1 missed abortion in December 2011. Lmp2012-03-25, EDC2013-01-01. Menopause 40+ days nausea, vomiting and other early pregnancy reaction, continued to disappear in March of pregnancy, 15 + 6 weeks of pregnancy in our hospital prenatal card, did not follow the doctor’s regular antenatal examination, prenatal examination only 3 times, fetal heart rate, Blood pressure are normal. Admission examination: stable vital signs (BP 118 / 75mmhg), no abnormal heart and lungs, abdominal bulging, no tenderness in the whole abdomen, no edema in both lower extremities. Obstetric examination: Palace height 32cm, abdominal circumference 95cm, first exposed buttocks, fetal orientation LS, fetal heart rate 130 beats / min, law Qi, loud. Membrane has been broken. Anal examination: first exposed more than -3, 100% of cervical canal capacity, cervix is not open, quality, location, cervical score 5 points. Vaginal mouth see clear sheep