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1临床资料患者,女,35岁,停经38W,近四天来自觉下腹部切口疼痛明显,不规则,夜间较剧,来院检查,拟诊:1.孕5产2孕38W,LOA待产;2.疤痕子宫(二次剖宫产);3.妊娠合并巨大儿?收入院。查体:生命体征正常,身高164cm,体重85kg。产科检查:宫高36cm,腹围107cm,估计胎儿大小4052g,胎方位LOA,胎心率146次/分。入院后完善相关检查,凝血常规、生化组合符合妊娠生理,于2015年4月1日在腰硬联合麻醉下行三
1 clinical data of patients, female, 35 years old, menopause 38W, nearly four days from the lower abdominal incision pain was obvious, irregular, more drama at night, to the hospital to check and diagnose: 1. Pregnancy and 5 producing 2 pregnant 38W, LOA to be produced; Scar of the uterus (second cesarean section); 3. Pregnancy with huge children? Income hospital. Physical examination: vital signs normal, height 164cm, weight 85kg. Obstetric examination: Palace height 36cm, abdominal circumference 107cm, estimated fetal size 4052g, fetal position LOA, fetal heart rate 146 beats / min. After admission to improve the relevant inspection, coagulation routine, biochemical combination with pregnancy physiology, on April 1, 2015 in the waist and throat joint anesthesia down three