论文部分内容阅读
患者22岁,困孕足月阵发性腹痛3h 于1989—12—26住院,孕期经过良好.检查:体温36℃,脉搏88次/分,血压14.7/9.3kPa,心肺(-),枕左前位,胎心138次/分,预因胎儿体重不足2500g.肛查:宫颈管消失.宫口开大5cm,儿头+1。骨盆内外测正常。宫缩良好产程顺利,于1989年12月26日7时顺产一男婴,评9′,体重1800g,无畸形.新生儿消瘦,皮肤干燥,无胎毛,胎脂少,头发细丝状,耳廓软骨已发育完整,乳头突起,睾丸下降,阴囊多皱褶,足底纹理多,是一个典型的 IUGR 儿.胎儿娩出后见一紫蓝色囊性肿物拔露于阴道口,5分钟后肿物娩出,随即胎膜胎盘完整娩出.检查肿物位于距胎盘10cm 处
The patient was 22 years old, pregnant term full-term paroxysmal abdominal pain 3h was admitted to the hospital from December 1989 to December 2009.It had good pregnancy status.Check: temperature 36 ℃, pulse 88 beats / min, blood pressure 14.7 / 9.3kPa, cardiopulmonary (-), Bit, fetal heart 138 times / min, due to fetal weight less than 2500g.Analysis: disappearance of cervical canal. Palace open big 5cm, children +1. Pelvic measured outside the normal. Contractions good good labor smoothly, at 7 o’clock on the December 26, 1989 a successful baby boy, assessment 9 ’, weight 1800g, no deformity. Newborn weight loss, dry skin, no fetal hair, less fetal fat, hair filaments, pinna Cartilage has been fully developed, papillae, testicular descent, scrotum and more folds, plantar texture and more, is a typical IUGR children .If the fetus after delivery see a purple blue cystic tumor in the vaginal opening, 5 minutes after the swollen The material was delivered, then the full delivery of fetal membranes placenta. Check the mass located 10cm away from the placenta