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一、病例报告患者,34岁,因“停经40+6周,在当地镇医院行催产素引产规律腹痛6小时,胎心消失20分钟”于2007-5-17-9pm转入我院。转入时被告知宫口已开大6cm。患者平素月经规律,孕4产1流2存1,入院体检:T36.60C,P84次/分,R18次/分,BP110/70mmHg。体格肥胖,神志清,精神好,检体合作。心肺听诊无异常。腹软,无压痛反跳痛,肝脾未扪及肿大。宫高37cm,无宫缩,胎位LOA,胎头浮,未闻及胎心。阴道检查:宫口开大近4cm,经宫口可触及胎头,
First, the case report patients, 34 years old, because of “menopause 40 + 6 weeks in the local town hospital oxytocin induction of labor law abdominal pain 6 hours, fetal heart disappeared 20 minutes ” in 2007-5-17-9pm transferred to our hospital . Miyaguchi was told to turn large 6cm. Patients usually menstrual regularity, pregnancy 4 1 flow 2 deposit 1 admission examination: T36.60C, P84 times / min, R18 beats / min, BP110 / 70mmHg. Physical obesity, conscientious, good spirit, sample cooperation. Cardiopulmonary auscultation no abnormalities. Abdomen soft, no tenderness rebound pain, liver and spleen not palpable swelling. Palace 37cm high, no contractions, fetal position LOA, fetal head floating, did not smell and fetal heart. Vaginal examination: cervix open nearly 4cm, the cervix can reach the fetal head,