论文部分内容阅读
患者22岁,住院号30633.孕37周腹痛1天。全身肿胀21小时,阴道口窥见胎头2小时,于1989年3月20日14时30分山当地卫生院转入我院.一天前在家分娩,屏气时两上肢出现肿胀,并逐渐向头面部、躯干及下肢扩展.因产程进展缓慢,送至当地卫生院.血压21.3/17.3kPa,曾静脉给硫酸镁及口服降压片并行会阴侧切术,胎儿仍来娩出急转我院.检查:Bp21.3/17.3kPa,一般情况欠佳,神志清楚.触摸皮下均可闻及捻发音,上肢及头面部尤甚.宫底高35cm,腹围92cm,头先露,宫缩弱,胎心未闻及,阴道口可见胎头,会阴左侧切口长约3cm,宫口已开全,胎心未听到.患者入院后病情恶化,神志不清,心律不规则.继
Patient 22 years old, hospital number 30633. Pregnancy 37 weeks abdominal pain 1 day. Body swelling of 21 hours, vaginal glimpse of fetal head 2 hours, at 14:30 on March 20, 1989 Hill local hospitals into our hospital. One day before delivery at home, hold their arms when the upper extremity swelling, and gradually to the head and face , Trunk and lower extremity expansion due to slow progress of labor, sent to the local hospitals. Blood pressure 21.3 / 17.3kPa, had intravenous administration of magnesium sulfate and oral antihypertensive tablets concurrent episiotomy, the fetus is still delivered to our hospital .Check: Bp21 .3 / 17.3kPa, the general situation is poor, conscious .Touch can be heard under the skin and twist pronunciation, upper extremities and head and face more .Uterminal height 35cm, abdominal circumference 92cm, first dew, contractions, fetal heart rate Smell the vaginal opening visible fetal head, perineal incision left about 3cm, cervix has been opened, fetal heart rate did not hear .The patient admitted to the hospital after the condition deteriorated, confusion, irregular heart rhythm.