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患者女,36岁.以停经45周阴道流水1d 之主诉,于1990年2月17日以45周妊娠,胎膜早破入院。查体:T36℃,P84次/min,R18次/min,BP12.3/kPa。发育营养一般,心肺(-),宫高34cm,腹围93cm,右枕前位,胎心音100次/min,肛查宫口开大1~+cm.实验室检查。Hb80g/L,RBC2.83×16~2/L,WBC5.2×10~9/L,N0.86,L0.32,出凝血时各1min。入院后初步诊断:①孕5产2 45周妊娠。②过期妊娠。③胎膜早破。④胎儿宫内窘迫。入院后给抗炎、抗贫血、吸O_2、静脉推注三联等,对症处理。并给10%葡萄糖500ml,+催产素4u 静脉滴注,观察产程、后胎心音消失。阴道检查,脐带脱于子宫外,宫口仍1~+cm 大小,可容一指尖,在子宫内口处可触及节育环,追问病史,放
Female patient, 36 years old To 45 days of menopause vaginal discharge 1d of the chief complaint, on February 17, 1990 to 45 weeks of pregnancy, premature rupture of membranes admitted to hospital. Physical examination: T36 ℃, P84 times / min, R18 times / min, BP12.3/kPa. Developmental nutrition in general, cardiopulmonary (-), Palace height 34cm, abdominal circumference 93cm, right anterior occipital, fetal heart sound 100 times / min, anal check uterine opening 1 ~ + cm. Laboratory tests. Hb80g / L, RBC2.83 × 16 ~ 2 / L, WBC5.2 × 10 ~ 9 / L, N0.86, L0.32, the coagulation of each 1min. After the initial diagnosis of admission: ① pregnant 5 455 gestational pregnancies. ② expired pregnancy. ③ premature rupture of membranes. ④ fetal distress. Admission to the anti-inflammatory, anti-anemia, inhalation O_2, intravenous injection triple, symptomatic treatment. And to 500ml of 10% glucose, oxytocin 4u intravenous infusion, observation of labor, the disappearance of fetal heart sound. Vaginal examination, umbilical cord off the uterus, uterine cervix is still 1 ~ + cm size, can accommodate a fingertip, the mouth can be reached in the uterus birth control ring, asked history, put