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病历摘要患者崔××,女,35岁。第二胎一产孕足月,入院前数小时阴道有少量流血,疑前置胎盘而收入院。查宫底剑突下二指,纵产式,胎头下方、胎心音良,144次/分,可触及宫缩,胎头已入盆。骨盆外测量各径线均属正常范围。外阴婚产型,阴道无阻塞。宫口开大8.0cm,先露头棘平面下2.0cm,未触及骶(骨甲),宫缩规律,破膜后宫缩强烈。于第二产程中突然出现呼吸困难、紫绀,相继抽搐后昏迷。P100,BP60/30,针刺人中、合谷穴,加压吸氧,静滴低分子右旋糖苷,静注5%碳酸氢钠200ml,应用间羟胺等血
Patient summary Cui × ×, female, 35 years old. The second child a pregnancy full term, a few days before admission a small amount of vaginal bleeding, suspected placenta preadmission hospital. Check the bottom of the temple Gongzhu second finger, longitudinal type, fetal head below the fetal heart sound good, 144 beats / min, accessible contractions, fetal head has been into the basin. Outside the pelvis measuring the diameter of the line are normal range. Vulvar marriage type, vaginal non-blocking. Miyaguchi open large 8.0cm, first outcrop spines plane 2.0cm, sacral (bone nail) was not touched, contractions of the law, after rupture of the uterus strong. Sudden breathing difficulties in the second stage of labor, cyanosis, have convulsions after a coma. P100, BP60 / 30, acupuncture at Hoku, pressure oxygen, intravenous infusion of low molecular weight dextran, intravenous infusion of 5% sodium bicarbonate 200ml, the application of hydroxylamine and other blood