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患者22岁,住院号3164.因停经17周要求引产。于1988年10月14日入院.体检:一般状况尚可,子宫底脐下二指,子官大小与孕周相符,阴道清洁度Ⅱ°.血、尿常规及肝功化验正常.入院的第3天,在无菌操作下行水囊引产.囊内注入生理盐水420ml.24小时后,患者无宫缩及其他不适,取出水囊,行催产素静点引产.用5%葡萄糖500ml 加催产素10U,从每分钟10滴开始,逐渐加量至每分钟30滴,连续静滴2天,患者仍无规律性官缩.查:宫颈未消失,宫口未开,阴道无流水及流血,予抗生素预防感染.水囊引产后第7天上午9时,行第2次水囊引产.术前 T36.6℃,P84次/分,Bp11.9/7.9kPa.宫底脐下2指,服道无流水及流血.常规消毒阴道,水囊放置
Patient 22 years old, hospital number 3164. Requests for induction of labor due to menopause 17 weeks. Was admitted to hospital on October 14, 1988. Physical examination: the general condition is acceptable, the uterus at the bottom of the umbilical two fingers, child size and gestational age consistent, vaginal cleanliness Ⅱ °. Blood, urine and liver function tests were normal. 3 days, aseptic operation down the water bag induction of labor. Intracavitary injection of saline 420ml.24 hours, the patient had no contractions and other discomfort, remove the balloon, the line of oxytocin point induction of labor. With 500ml of 5% glucose plus oxytocin 10U, starting from 10 drops per minute, and gradually increase the amount of 30 drops per minute, continuous intravenous infusion of 2 days, the patient still no regular shrinkage.Check: the cervix did not disappear, the cervix is not open, the vagina without water and blood, to Antibiotics to prevent infection.After the abortion on the seventh day at 9 o’clock in the morning, the second water bag induced labor.The preoperative T36.6 ℃, P84 times / min, Bp11.9 / 7.9kPa. Road without water and bleeding routine disinfection of the vagina, water sac placed