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患者24岁,已婚,住院号6184。于1987年7月25日在当地医院以足月妊娠第一胎分娩一男性活婴,体重3900g,总产程24小时,无手术助产。产后4小时曾肌注催产素10U,患者感臀部疼痛,住院1天出院。出院后右臀部疼痛加重,行走困难,不能坐起,卧位不能翻身。产后第10天当地医院以“右侧坐骨神经痛”的诊断用穴位封闭及按摩方法治疗,效果不佳。于1987年8月16日转入本院。检查:患者身高150cm,呈被动体位,不能右侧卧位,右骶髂关节处压痛明显,局部较左侧高,双膝关节伸、屈正常,右髋关节外展、外旋、屈曲时疼痛加重。骨盆测量:髂前上棘间径23cm,髂嵴间径25cm,骶耻外径17cm,坐骨结节间径8.5cm。X 线摄片,右侧骶髂关节间隙明显增宽约1.2cm(正常0.3cm),骨盆其它各部位尚无异常。
Patient 24 years old, married, hospital number 6184. July 25, 1987 at a local hospital in full-term pregnancy first child delivery of a male living baby, weighing 3900g, total 24 hours of labor, no surgical midwifery. 4 hours postpartum had intramuscular oxytocin 10U, patients with hip pain, hospital discharge 1 day. After discharge from the right hip pain, walking difficulties, can not sit up, lying position can not stand up. Local post-natal 10 days to “right sciatica” diagnosis with acupuncture points closed and massage treatment, the effect is not good. On August 16, 1987 transferred to the Court. Check: The patient height 150cm, was passive position, not the right lateral position, the right sacroiliac joints tenderness significantly higher than the left part of the local knee extension, normal flexion, right hip abduction, external rotation, flexion pain Increase. Pelvis measurement: anterior superior iliac spine diameter 23cm, iliac crest diameter 25cm, sacral external diameter 17cm, ischial tuberosity diameter 8.5cm. X-ray, the right side of the sacroiliac joint space was significantly wider about 1.2cm (normal 0.3cm), the other parts of the pelvis without exception.