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病例报告女婴,2胎1产,胎龄41(5/7)周,于1984年9月1日19时45分,因产妇宫缩乏力,第二产程延长(2小时45分),行会阴侧切,产钳术分娩,Apgar评分8分,体重4,250g。产妇21岁,体重99Kg。1983年第一胎3个月时做人工流产。本次妊娠7个月后出现水肿。1984年8月17日因宫缩入院待产。分娩时宫缩不规律,静脉滴注催产素1单位,产钳分娩。入院后白细胞27,600～16,200/mm~3,中性粒细胞76～78％。其父健康。非亲缘婚配。查体:婴儿全身青紫,易激惹。头皮下15×15cm血肿,延至颈部,影响前囟的触诊。呼吸困难,48次/分,两肺均可闻及湿罗音。心律齐,心率120次/分,未闻杂音。肝肋缘下1.5cm。外生殖器未见异常。四肢活动弱,肌张力低下,拥抱反射不完全。实验室检查:末梢血白细饱21,200/mm~3,中性粒细胞50％,淋巴细胞50％,红细胞465万/mm~3,血色素13g。胸片因病情危重未拍。
Case report The girl, 2 fetuses and 1 fetus, gestational age 41 (5/7) weeks, at 19:45 on September 1, 1984, due to maternal uterine inertia, extension of the second stage of labor (2 hours and 45 minutes), line Episiotomy, forceps delivery, Apgar score 8, weight 4,250g. Mother 21 years old, weight 99Kg. 1983 first child 3 months to do abortion. 7 months after the pregnancy edema. August 17, 1984 due to contractions hospital to be produced. Uterine contractions during delivery irregular, intravenous infusion of oxytocin 1 unit, forceps delivery. After admission, leukocytes 27,600 ~ 16,200 / mm ~ 3, 76 ~ 78% of neutrophils. His father is healthy. Non-related marriage. Physical examination: baby bruising, irritability. Scalp 15 × 15cm hematoma, extending to the neck, affecting the anterior fontanel palpation. Breathing difficulties, 48 beats / min, both lungs can smell wet rales. Qi heart rate, heart rate 120 beats / min, no unheard noise. Under the liver ribs margin 1.5cm. No abnormal genitalia. Weak limbs, low muscle tone, embrace reflection is not complete. Laboratory tests: peripheral blood leukorrhagia 21,200 / mm ~ 3, 50% of neutrophils, lymphocytes 50%, erythrocyte 4650000 / mm ~ 3, hemoglobin 13g. Chest because of critical condition did not shoot.