1案例资料1.1简要案情某女,27岁,孕4月余。某年1月5日上午因纠纷与人发生争吵,称被人脚踢腹部感腹部不适于当日下午入当地县医院观察、治疗。入院时查体:阴道无流血流水,宫底脐下3指,先露不清,胎心不清,拟诊 1 case information 1.1 brief case a woman, 27 years old, more than 4 months pregnant. On the morning of January 5, a quarrel with people broke out in the morning on the morning of January 5, it was said that it was unsuitable for observation and treatment at the local county hospital in the afternoon on the afternoon of the same day. Admission examination: vaginal bleeding, bottom of the palace below the umbilical 3 fingers, first revealed, fetal heart is not clear, the proposed diagnosis