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患者,35岁,孕_2产_1,孕38周,腹痛伴胎动消失1天。当地医院诊断:死胎。并行羊膜腔穿刺术失败,当天下午出现腹痛加剧、头晕、眼花,我院出车把病人接回诊治。体查:T36.6℃,P60次/分,BP12/8kPa,R20次/分,面色苍白,表情淡漠,头颅五官端正,心肺正常、腹膨隆,宫底38cm。宫体明显压痛,呈板状紧张,未闻及胎心音,胎方位触不清。阴检:宫颈长0.5cm,宫口开一指,胎先露为头。血常规:Hb75g/L,RBC2.63×10~(12)/L,WBC88×10~9/L,N0.84,L0.25,E0.01,BT2分,CT3 1/2
Patients, 35 years old, pregnant _2 _1 production of 38 weeks pregnant, abdominal pain with fetal movement disappeared 1 day. Local hospital diagnosis: stillbirth. Parallel amniocentesis failed, abdominal pain intensified the afternoon, dizziness, vertigo, the hospital out of the car to take back the patient diagnosis and treatment. Physical examination: T36.6 ℃, P60 beats / min, BP12 / 8kPa, R20 beats / min, pale, apathy, head and shoulders facial features, normal heart and lungs, abdominal bulging, the end of the palace 38cm. Significant tenderness in the Palace, was a plate-like tension, did not smell and fetal heart sound, tire position touch. Negative inspection: Cervical long 0.5cm, Miyaguchi open a finger, the first appearance of the fetus. Blood: Hb75g / L, RBC2.63 × 10 ~ (12) / L, WBC88 × 10 ~ 9/L, N0.84, L0.25, E0.01, BT2, CT3 1/2