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病历摘要孙××,住院号27747,年31岁,山东人,孕次6,产次5,于1954年6月7日下午2时15分来本院急诊,检查后立即收容入院。主诉为足月妊娠临产已两天,腹痛及胎儿一只手脱出约20小时。产妇于怀孕期间并无不适。两天前开始有阵发性子宫收缩。入院前一日傍晚,自觉一阵阴道流水后,外阴掉出一只胎儿手。当时曾由产婆欲将手送回,但未成功。后将产妇送至居地县卫生院,也曾试行还纳,未成,操作时感腹痛加剧,伴有晕眩,即由卫生院送来本院。该产妇过去曾生产五次。头三次皆顺产;第四次为双足位,由接生者拉出;第五次分娩过程中,一手脱出,经产婆送回后自然分娩。检查所见:发育良好,营养中等,神志半清醒,血压70/50,脉搏160/分,呼吸30/分,口唇稍呈紫绀,四肢发冷,满腹有压痛,在脐稍下处可明显摸到胎儿肢体(即
Medical records summary Sun × ×, hospital number 27747, year-old 31 years old, Shandong, pregnant times 6, delivery times 5, at 2:15 on June 7, 1954 to our hospital emergency department, admitted to hospital immediately after the inspection. Chief complaint for term pregnancy has been two days, abdominal pain and fetus one hand prolapse of about 20 hours. Maternal no discomfort during pregnancy. Paroxysmal uterine contractions began two days ago. The day before admission, the evening, consciously vaginal water, the vulva fell out of a fetus hand. At that time, she was returned by her midwife but did not succeed. After the mother will be sent to Habitat County Health Center, also pilot also satisfied, did not, the operation time sense of aggravating abdominal pain, accompanied by dizziness, that is, sent by the hospital to the hospital. The mother used to produce five times in the past. The first three times are all spontaneous; the fourth for the feet, pulled by the recipient; the fifth childbirth process, one hand prolapse, after the mother returned to natural childbirth. Check the findings: well-developed, moderate nutrition, consciousness, half awake, blood pressure 70/50, pulse 160 / min, breathing 30 / min, slightly cyanotic lips, limbs cold, full of tenderness, slightly below the umbilical touch To the fetal limb (ie