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患者24岁,农民、于1994年7月13日因第一胎孕41周临产4天入院。检查:T38℃、P86次/分、BP14/10kPa。宫高32cm、LoA,头浮。胎心音脐左下140次/分。(肛)查宫口近开全,前穹窿处可触及鹅卵大硬物,无疼痛、表面光滑,影响先露下降。于当日上午在硬膜外麻醉下行古典式剖宫产术,术中取出一男活婴,体重3500g术中出血不多,按层缝合子宫肌层。探查腹腔,发现膀胱内有鹅卵大结石,推之能活动,即行膀胱切开取
Patient 24 years old, farmer, on July 13, 1994 due to the first gestational age of 41 weeks of labor 4 days admitted to hospital. Check: T38 ℃, P86 times / min, BP14 / 10kPa. Palace height 32cm, LoA, head floating. Fetal heart tone lower left 140 times / min. (Anal) check the cervix nearly open the whole, before the fornix touches goose egg hard objects, no pain, the surface is smooth, the impact of the first exposed drop. On the morning of the same day in the epidural anesthesia under classical cesarean section, intraoperative removal of a male live baby, weight 3500g bleeding in surgery, according to suture the myometrium. Exploring the abdominal cavity, found large goose inside the bladder stones, push it to move, that is to take the bladder incision