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×××,30岁,农民,因妊娠37周臀位产胎头嵌顿已3小时余,于79年4月13日晚急诊入院。患者孕4产2,末次月经78年7月24日,预产期79年5月1日。妊娠末期觉腹型巨大,下肢浮肿近半月,既往未作过产前检查。79年4月12日晚开始正规宫缩,即入当地产院待产,13日凌晨破水,流出羊水甚多,随即儿身自行娩出,助产士反复多次试行牵引,始终无法将胎头娩出,故急诊转来我院。检查:急性痛苦面容,血压160/100,下肢浮肿(+),宫缩70”/1～2’,宫底脐剑间,子宫呈葫芦状,两侧圆韧带清楚触及,下段隆起增宽,压痛明显。导尿后内诊:子宫颈口开大7～8厘米,颈口达周紧裹儿颈上段,手指伸入宫腔检查发现颅骨板有乒乓球感,骨缝增宽,初步诊断为脑积水臀位产胎头嵌顿。因枕骨大孔不易暴露,行穿颅术有一定困难,故用
×××, 30 years old, farmer, 37 weeks of gestation breech fetal head incarceration has been more than 3 hours, April 13, 79 in the evening emergency admission. 4 patients with pregnancy 2, the last menstrual 78 years July 24, the expected date of May 1, 79. Late pregnancy belly type huge, lower extremity edema nearly half a month, never made prenatal examination. On the evening of April 12, 79, formal contractions started, namely into the local hospital to be produced, on the 13th break the water, out of the amniotic fluid, then the child was delivered on their own, the midwife repeatedly pilot traction, the fetus has always been unable to deliver, so the Emergency transfer to our hospital. Examination: acute pain face, blood pressure 160/100, lower extremity edema (+), contractions 70 "/ 1 ~ 2 ’, between the uterus palace uterus, the uterus was gourd-like, clear round both sides of the ligament, lower bulge broadened, Tenderness significantly.Direct catheterisation: the cervix to open a large 7 to 8 cm, the neck circumference up tightly wrapped around the neck of the neck, fingers found in the uterine cavity to check the skull plate has a sense of ping pong, bone gap widened, the initial diagnosis Hydrocephalus breech fetal head incarceration due to the occipital foramen is not easy to expose the line to wear cranial surgery have some difficulties, so with