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患者26岁,住院号860235。妊娠21周死胎,经腹宫腔内注射0.1%雷夫奴尔100ml 引产46小时,因腹胀来院。既往健康。查体T37.3℃,P72次/分,Bp110/70mmHg,心肺正常。腹部膨隆,腹围128cm。叩诊鼓音,宫底脐上四指,胎位不清,未闻及胎心音。WBC15.5×10~9/L,N80%,L20%。X 线所见:膈肌上升,运动受限,全腹透过度明显增强;可见胎儿颅骨重叠,脊柱弯曲成角,胎儿肢体模糊不清。孕妇出现阵发性宫缩,间隔7～8分,持续2～3分钟,伴有轻度坠胀感。腹部逐渐增大,宫底升高达剑下,病人呼吸困难且逐渐加重。经胃肠减压,肛管排气,灌肠等处
Patient 26 years old, hospital ad 860235. 21 weeks of gestation, stillbirth, via intrauterine injection of 0.1% Reifu 100ml abortion for 46 hours, due to abdominal distension to the hospital. Past health. Physical examination T37.3 ℃, P72 times / min, Bp110 / 70mmHg, normal heart and lungs. Abdominal bulging, abdominal circumference 128cm. Percussion Drum sound, uterus four fingers on the uterus, fetal position is unclear, did not smell and fetal heart sound. WBC15.5 × 10 ~ 9 / L, N80%, L20%. X-ray findings: diaphragm rise, exercise limited, full abdominal penetration was significantly enhanced; visible fetal skull overlap, curvature of the spine, fetal limb blurred. Pregnant women have paroxysmal uterine contractions, an interval of 7 to 8 minutes, sustained 2 to 3 minutes, accompanied by a slight sense of bulge. The abdomen gradually increased, the palace bottom up sword, the patient breathing difficulties and gradually increased. Decompression by the gastrointestinal, anal canal, enema and other places