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患者25岁,住院号57098.第1胎,宫内孕43周,规律宫缩5小时,于1992年4月2日上午8时入院.查体:宫高35cm,腹围105cm,LOA,胎心160次/分,宫口开大4cm.诊断:过期妊娠,胎儿宫内窘迫.给予左侧卧位,吸氧,胎心渐好转,150次/分.上午12时宫口开全,胎心开始减慢,80次/分.立即在会阴侧切下,胎头吸引娩出一死婴,重3750g,胎脂及全身皮肤黄染.胎儿脐带绕颈2周并绕左下肢1周,脐带长60cm,呈暗红色浸软,表面腐烂,脐动脉,脐静脉与华通氏胶分离25cm,在距胎盘5cm 处,脐血管完全断裂,有活动出血,后羊水约
Patient 25 years old, hospital number 57098. The first child, 43 weeks of uterine pregnancy, regular contractions for 5 hours, admitted to hospital at 8:00 on April 2, 1992. Physical examination: Palace height 35cm, abdominal circumference 105cm, LOA, fetal Heart 160 beats / min, cervix open large 4cm. Diagnosis: expired pregnancy, fetal distress. Give the left lateral position, oxygen, fetal heart getting better, 150 beats / min. Heart began to slow down, 80 beats / min immediately cut in the perineum side, the fetal head to attract the delivery of a dead baby, weighing 3750g, fetal fat and body skin yellow dye fetal cord around the neck for 2 weeks and around the left lower limb for 1 week, umbilical cord length 60cm , Dark red maceration, surface decay, umbilical artery, umbilical vein and Huatong gum separation 25cm, at a distance of 5cm from the placenta, umbilical blood vessels completely broken, active bleeding, after amniotic fluid