患者,女,26岁,以孕41周,腹阵痛6h主诉于1995年7月16日入院,孕3~+月,曾因“上感”,用青霉素钠、川贝止咳糖浆等治疗20d愈。妊娠期间无其它异常。家族史中否认双胎及畸形史。既往月经规律。 查体 T36.4℃,P80次/min,R20次/min,BP14/9kPa。身高162cm,一般情况可,心肺无异常,乳丰满,腹膨隆,肝脾未触及。产科情况:子宫底高35cm,腹围108cm,胎方位LOA,先露固定,胎心率140次/min。入院 Patients, female, 26 years old, pregnant 41 weeks, abdominal pain 6h Chief complaint on July 16, 1995 admission, pregnancy 3 ~ + months, had “feeling” with penicillin sodium, Chuanbei cough syrup treatment more 20d . No other abnormalities during pregnancy. Family history deny twins and deformity history. Past menstrual rules. Physical examination T36.4 ℃, P80 times / min, R20 times / min, BP14 / 9kPa. Height 162cm, the general situation can be, no abnormal heart and lung, breast fullness, abdominal bulging, liver and spleen not touched. Obstetric conditions: 35cm at the end of the uterus, abdominal circumference 108cm, fetal position LOA, first Lu fixed, fetal heart rate 140 beats / min. Admission