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患者20岁,因孕40周下腹部阵发性堕胀6天,排尿困难3天伴呕吐,于1987年5月12日入院,孕_1产_(?)。患者从儿时起即有尿频、尿急、尿痛现象,曾用中草药治疗缓解。检查:子宫轮廓清楚,轻压痛,肠胀气,膀胱区充盈,宫底剑突下一横指,左枕前位,胎心音不规则,头先露,半固定,有宫缩。阴道检查,触及一如男性手拳大小硬物,嵌入阴道,硬物似来自膀胱,活动差,不能触及宫颈及胎先露部。立即补液,纠酸,于宫内复苏术后行剖宫产术。局麻加氯胺酮麻醉下行子宫下段横切口,娩出一活女婴,重度窒息,新生儿全身黄
The patient, 20 years old, had a spontaneous abdominal distension for 6 days due to 40 weeks of gestation and had difficulty urinating for 3 days with vomiting. She was admitted to hospital on May 12, 1987 and was pregnant. Patients from childhood urinary frequency, urgency, dysuria, have used Chinese herbal medicine to alleviate. Check: a clear outline of the uterus, tenderness, flatulence, filling the bladder area, the bottom of the Xiphoid a horizontal finger, left anterior occipital, fetal heart sound irregular, first dew, semi-fixed, contractions. Vaginal examination, as the masculine hand size hit hard objects, embedded in the vagina, hard things like from the bladder, poor activity, can not touch the cervix and fetal forehead. Rehydration immediately, correct acid, cesarean section after intrauterinearrhaphy. Local anesthetic ketamine anesthesia downstream uterine transverse incision, delivered a live baby girl, severe asphyxia, neonatal whole body yellow