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患者王××,28岁,农妇。主訴:足月妊娠发动生产四天,胎儿未能順利娩出,产程不見进展,于1959年8月14日入院。既往史与月經史:17岁月經初潮,2至3个月来一次,每次約4至5天,量中等,伴有腹痛,腰痛。21岁結婚,曾妊娠二次,均为腹部右側偏大,而左側亦見一包块胀大,至拳大即停止,待分娩后該包块随之消失。此为第三胎妊娠,上二胎均于出生后死亡。检查:发育营养尚好,神志清楚,精神紧张,体
Patient Wang × ×, 28 years old, peasant women. Chief Complaint: Full-term pregnancy start production for four days, the fetus failed to deliver, no progress in labor, in August 14, 1959 admission. Past history and history of menstruation: 17 years of menarche, once every 2 to 3 months, each about 4 to 5 days, the amount of moderate, with abdominal pain, back pain. 21-year-old married, had a second pregnancy, are the right side of the abdomen is too large, while the left side also see a bulky bulge to stop the big boxing, to be followed by the mass disappeared. This is the third pregnancy, the second child died after birth. Check: Developmental nutrition is still good, conscious, nervous, body