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病历摘要郭××,女,32岁,孕1产0。末次月经1985年5月13日,预产期1986年2月20日。35~+孕周时心电图示:不完全右束枝传导阻滞,室性早搏。1986年2月19日9点40分因孕40周临产入院。血压,脉搏,胎心均正常,复查心电图有完全右柬枝传导阻滞,行吸氧,胎心监护,11点30分宫缩30″/2′,宫口扩张1cm,胎膜自破,羊水黄绿,伴有胎脂,量多。此时产妇自述气短,查P 76～80次/分,Bp110/70mmHg。双肺未闻干湿性罗音,吸氧观察。连续胎心监护示1分多钟宫缩1次,宫缩强而间歇短,并出现急性胎儿宫内窘迫(图1～4).
Medical records Guo × ×, female, 32 years old, pregnant 1 produce 0. The last menstrual period May 13, 1985, the expected date of February 20, 1986. 35 ~ + gestational ECG: incomplete right bundle branch block, ventricular premature beats. February 19, 1986 at 9:40 for labor and 40 weeks of labor admitted to hospital. Blood pressure, pulse, fetal heart rate were normal, the right ECG review card branch block, line oxygen, fetal heart rate monitoring, 11:30 contractions 30 "/ 2 ’, cervix expansion 1cm, fetal membrane self-broken, Amniotic fluid yellow-green, accompanied by fetal fat, quantity and more. At this point maternal self-reported shortness of breath, check P 76 ~ 80 beats / min, Bp110 / 70mmHg. 1 minute and more contractions 1, the contractions contractions and intermittent short, and acute fetal distress (Figure 1-4).