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患者23岁、已婚。因妊娠32周,阵发性腹痛12小时,于83年9月30日入院。自述9月29日晚自觉无胎动感,9月30日21点开始宫缩入院,9月20日感发热,咳嗽、未治,数日后自愈。除此以外妊娠过程中无异常发现。体检:一般情况尚好,血压140/90mmHg。心肺无异常发现。肝、脾未触及。宫底脐上三指,先露头,胎位摸不清;宫颈消失,宫口开3厘米,胎心未闻及。诊断:第一胎,宫内妊娠32周,死胎。于10月1日7时宫口开全,7时40分行人工破膜,7时45分自然娩出一死婴,体重
The patient is 23 years old and married. Due to 32 weeks of gestation, paroxysmal abdominal pain for 12 hours on September 30, 83 admitted. Self-reported on the evening of September 29 no conscious fetal movement, at 21 o’clock on the September 30 began to contractions admission, September 20 a sense of fever, cough, not cured, a few days after the self-healing. In addition, no abnormal pregnancy process found. Physical examination: the general situation is good, blood pressure 140 / 90mmHg. No abnormal heart and lung findings. Liver, spleen not touched. Uterus at the end of the palace on the third finger, first outcrop, fetal palpable; disappear cervix, cervix open 3 cm, fetal heart not heard. Diagnosis: The first child, intrauterine pregnancy 32 weeks, stillbirth. At 7 o’clock on the October 1 Palace mouth open, 7:40 artificial rupture of membranes, 7:45 natural delivery of a dead baby, weight