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患者,28岁,孕1产0,因停经41~(+4)周,腹痛两天,阴道外胎儿上肢脱出12小时并胎动消失,于2002年5月7日人院。患者平素月经规律,孕期从未检查,两天前出现腹痛,并伴有撕裂样疼痛发生,无晕厥及排尿困难。入院查:T37.8℃,P100次/分,R22次/分,BP90/60mmHg,急性痛苦病容,心肺(-),宫高25cm,腹围103cm,全腹压痛伴肌紧张,左中腹可及胎头,胎心未闻,阴道外可见胎儿右上肢脱出,肿胀青紫。消毒后
The patient, 28 years old, pregnant and 1 producing 0, due to menopause 41 to (+4) weeks, abdominal pain two days, vaginal fetal upper extremity prolapse 12 hours and disappeared fetal movement, on May 7, 2002 hospital. Patients usually menstrual regularity, never check during pregnancy, abdominal pain occurred two days ago, accompanied by tearing like pain, no syncope and dysuria. Admission examination: T37.8 ℃, P100 beats / min, R22 beats / min, BP90 / 60mmHg, acute pain and disease, cardiopulmonary (-), Palace height 25cm, abdominal circumference 103cm, total abdominal tenderness with muscle tension, Fetal head, fetus unknown, vaginal visible fetal right upper extremity, swollen bruising. After disinfection