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孕妇,26岁。以妊娠41周一孕零产,头位,于1989年10月13日下午2时30分入我院产科待产。主诉:妊娠经过正常,无其它疾病史。产科检查:足月妊娠腹型,胎心率146次/分,骨盆正常,阴道通畅,宫颈半消失,宫口未开,胎膜未破,胎先露:头5-4。当日晚9时,无任何诱因,阴道流血约400ml,无明显腹痛。查体轻度贫血貌,血压16/11kPa,胎心消失,宫体无局限性压痛,外阴阴道均有较多陈
Pregnant woman, 26 years old. In pregnancy 41 weeks of pregnancy zero production, head position, at 13:30 on October 13, 1989 into our hospital obstetrics to be delivered. Chief complaint: Pregnancy through normal, no other history of the disease. Obstetric examination: full-term pregnancy abdomen, fetal heart rate 146 beats / min, normal pelvis, vaginal patency, cervical half disappear, cervix is not open, fetal membranes are not broken, the first fetal exposure: 5-4. 9 pm the same day, without any incentives, vaginal bleeding about 400ml, no obvious abdominal pain. Physical examination mild anemia appearance, blood pressure 16 / 11kPa, disappearance of fetal heart, uterine body without limitations tenderness, vulva and vagina have more Chen