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1 病例报告 患者,28岁,农民,因妊娠39周,阴道流水1h,于2000年10月26日17∶00急诊入院。患者24岁初产,人工流产2次,末次月经2000年1月25日,孕期产检一次,胎位正常。入院检查:生命体征正常,产科检查:宫高30cm,腹围90cm,胎位左枕前,胎心100～140次/min,无宫缩;外阴消毒后内诊:骨、软产道正常,阴道有清亮羊水流出,胎头棘上1cm,宫口开大3cm,胎头前下方可触及一索条状物横置,有搏动感,回纳困难,轻压时胎心消失。初步诊断:(1)孕4产
A case report of patients, 28-year-old farmer, 39 weeks of gestation, vaginal water 1h, on October 26, 2000 at 17:00 emergency admission. Patients 24-year-old primiparous, abortion 2 times, the last menstrual January 25, 2000, pregnancy check-ups once, fetal position is normal. Admission examination: vital signs normal, obstetric examination: Palace height 30cm, abdominal circumference 90cm, fetal left pillow before, fetal heart rate of 100 to 140 times / min, no contractions; vulva disinfection after consultation: normal bones, soft birth canal, vaginal Brilliant amniotic fluid outflow, fetal head spinous 1cm, cervix open large 3cm, below the fetal head can touch a bar transverse, a sense of beating, back to Nan difficult, mild pressure disappear when fetal heart. Preliminary diagnosis: (1) pregnancy 4 production