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患者29岁,农民,住院号585。因妊娠39周,规律宫缩23小时,自然破膜25小时,由本地接生员于1987年1月21日送来我院。患者曾足月分娩一次,流产一次。查体:T36.9℃,P88次/分,Bp120/80mmHg.神清合作,脱水貌,心肺正常。宫高39cm,腹围96cm,胎头下方,半入盆。胎心音180次/分,跨耻征(+),子宫下段轻压痛,无病理缩复环.消毒后内诊:外阴高度水肿,宫口开全,羊水少、黄绿色。胎方位ROT,产瘤4.0×5.0×3.0cm,S=-2,骶耻内径11.5cm,余未见异常。胎儿体重估算4000g。导尿见肉眼血尿,化验血WBC2.9×10~9/L,S80%。血
Patient 29 years old, farmer, hospital number 585. 39 weeks due to pregnancy, regular contractions 23 hours, natural rupture of membranes 25 hours by the local midwife on January 21, 1987 sent to our hospital. Patients have full-term delivery once, miscarriage once. Physical examination: T36.9 ℃, P88 times / min, Bp120 / 80mmHg. Shenqing cooperation, dehydration appearance, normal heart and lungs. Palace 39cm high, abdominal circumference 96cm, below the fetal head, half into the basin. Fetal heart sound 180 beats / min, cross-humiliated levy (+), lower uterine ulcer tenderness, no pathological shrinking ring.After disinfection out-patient: a high degree of vulva edema, cervix open, oligohydramnios, yellow-green. Tire fetal position ROT, producing tumor 4.0 × 5.0 × 3.0cm, S = -2, sacral shame diameter 11.5cm, I no exception. Fetal weight estimation 4000g. Catheter see gross hematuria, blood test WBC2.9 × 10 ~ 9 / L, S80%. blood