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患者25岁,住院号7259.因初孕41~(+4),阵发性腹痛13小时,转持续性下腹痛2小时,于1989年11月23日入院.查体:Bp16/10.67kPa,痛苦貌,心肺正常.子宫如足月妊娠大小,下腹部可见病理性缩复环,下腹压痛,耻骨联合上方可扪及球形胎头,跨耻征(+),胎心80～100/分,宫口开大6cm,胎膜已破,胎头棘上3cm,矢状缝与骨盆入口前后径一致,枕部紧卡于耻骨联合上方,骨盆测量正常.诊断G1PO 孕41~(+4)周,高直前位,先兆子宫破裂,胎儿宫内窘迫.急诊行子宫下段剖宫产术.术中见羊水鲜红色,血性,内有血块,娩出一女婴、皮肤粘膜苍白,无生
Patient 25 years old, hospitalized 7259. Due to first trimester 41 ~ (+4), paroxysmal abdominal pain for 13 hours, continued to lower abdominal pain for 2 hours, was admitted on November 23, 1989. Physical examination: Bp16 / 10.67kPa, Painful appearance, normal heart and lung.Womes, such as the size of full-term pregnancy, the lower abdomen visible pathological shrink ring, abdominal tenderness, palpable pubic symphysis above the spherical head, cross-shame sign (+), fetal heart rate of 80 ~ Cervix open large 6cm, the fetal membrane has been broken, fetal head spinous 3cm, sagittal suture and pelvis entrance before and after the same diameter, occipital tight card in the top of the pubic symphysis, pelvic measurement is normal.GlPO pregnancy 41 ~ (+4) weeks , Straight anterior, threatened uterine rupture, fetal distress .Acute uterine cesarean section line .Interoperative see the amniotic fluid red, bloody, there are blood clots, gave birth to a baby girl, skin mucosa pale, no birth