论文部分内容阅读
患者女,28岁,住院号145203。因停经41周,不规则腹痛3小时于1989年9月23日入院。患者孕40~+天时曾有食未熟羊肉史,孕2月时“上感”发热达40℃,用“抗生素”后好转,孕4~+月感胎动,产前检查示羊水过多,B超最大羊水平段为10cm。过去史、家族史无特殊。体检:一般情况好,感羊水较多,胎位不清,胎心音遥远,于入院当天中午产钳助娩一女婴,重2600g,身长47cm,1分钟Apgar氏评分为9分,即见新生儿唇腭裂,右手六指,羊水极多,约3500ml,脐带32cm。入婴儿室后发现患儿口鼻粘液极多,吃奶后即青紫,下胃管不畅,怀疑食道异常,给禁食、补液治疗。经家属要求,于9月27日出院。出院诊断:1.新生儿唇腭裂;2.右手六指畸形;3.上消化道闭锁?产后母血弓形体抗体(ELISA法)示阳性。
Female patient, 28 years old, hospital number 145203. Due to menopause 41 weeks, irregular abdominal pain for 3 hours on September 23, 1989 admission. Patients with pregnancy 40 ~ + days had unhealthy history of mutton, pregnancy in February when the “sense of” fever of 40 ℃, with “antibiotics” and then improved, pregnancy 4 ~ + feel fetal movement, prenatal examination showed too much amniotic fluid, B Super-largest sheep horizontal section of 10cm. Past history, family history no special. Physical examination: the general situation is good, more sense of the amniotic fluid, fetal position is unclear, fetal heart sound far away, on the day of admission midwife force delivery a baby girl, weighing 2600g, length 47cm, 1 minute Apgar’s score of 9 points, see newborns Cleft lip and palate, the right hand six fingers, amniotic fluid, about 3500ml, umbilical cord 32cm. Into the baby room found in children with a lot of mouth and nose mucus, milk after bruising, poor gastric tube, suspected esophageal anomalies, to fasting, fluid treatment. Upon family request, discharged on September 27. Discharge diagnosis: 1. Neonatal cleft lip and palate; 2. Right hand six finger deformity; 3. Upper gastrointestinal atresia? Postpartum maternal and child Toxoplasma antibody (ELISA) showed positive.