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产妇20岁,因孕33周,腹疼数小时,于1990年1月4日入院。停经40~+d有妊娠反应,孕5个月自觉胎动,妊娠期无阴道流血,近两月来感心慌、气短、平卧困难、检查:血压16/10kPa,体温、脉搏正常,心肺未见异常,肝脾未扪及,腹部张力大,宫高35cm,腹围92cm,胎心遥远140次/min,头先露,双顶经位于棘下1cm,骨盆外测量正常,宫口开大6cm。入院5h后,经阴道分娩1男活婴,婴儿体重2200g,Apgar评分7分,产时流出羊水约2000ml,色清,于胎儿娩出后5min胎盘娩出,同时娩出一椭圆形肿物,诊断:1胎1产32周早产,头位,羊水过多。产后检查:胎盘
20-year-old mother, 33 weeks pregnant, abdominal pain for hours, admitted on January 4, 1990. Menopause 40 ~ + d have a pregnancy reaction, pregnant 5 months conscious fetal movement, vaginal bleeding during pregnancy, feeling palpitation in the past two months, shortness of breath, supine difficulties, check: blood pressure 16 / 10kPa, body temperature, normal pulse, heart and lung no seen Abnormal, liver and spleen are not palpable, abdominal tension, high Palace 35cm, abdominal circumference 92cm, fetal heart distant 140 times / min, the first first exposed, double top located in the spine 1cm, pelvic measurement was normal, . 5h after admission, vaginal delivery of a male live baby, infants weighing 2200g, Apgar score of 7 points, the time of birth out of amniotic fluid about 2000ml, color clear, after the baby was delivered 5min placental delivery, at the same time delivered an oval tumor, diagnosis: 1 Tire 1 32 weeks preterm birth, head position, too much amniotic fluid. Postpartum examination: placenta