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1 临床资料 袁×× 女,34岁,农民,孕36周,不规则腹痛4～5天,破水32h余,在当地医院待产1天无胎心于1988年10月26日19:00转入我院。入院后检查:T36.6℃,P8次/分、R20次/分、BP13.33/10.kPa。一般情况好,心肺(-),肝脾未及,下肢浮肿(+),宫高35cm,腹围94cm,LOA,胎心无,宫口近全,胎膜已破,先露H高浮,无宫缩,辅助检查:尿Rt:蛋白(+),WBC少,RBC(+),血Rt:Hb93g/L、RBC3.15×10~(12)/L、S0.68,L0.32,血型::“O”B超:单胎晚孕,LoA,双顶径9.0cm,胎心胎动均无,未见胎儿畸形。入院诊断:孕36周临产、LoA(leqt occipito
1 clinical data Yuan × × female, 34 years old, farmer, 36 weeks of pregnancy, irregular abdominal pain 4 to 5 days, break the water more than 32h, to be born in a local hospital for 1 day without fetal heart on October 26, 1988 at 19:00 into Our hospital. After admission examination: T36.6 ℃, P8 times / min, R20 beats / min, BP13.33 / 10.kPa. General situation is good, cardiopulmonary (-), liver and spleen is not, lower extremity edema (+), Palace height 35cm, abdominal circumference 94cm, LOA, fetal heart rate, cervix nearly all, fetal membranes have been broken, No contractions, auxiliary examination: urine Rt: protein (+), WBC less, RBC (+), blood Rt: Hb93g / L, RBC3.15 × 10-12 / L, S0.68, L0.32, Blood type :: “O” B-ultrasound: single-child pregnancy, LoA, biparietal diameter 9.0cm, no fetal heart rate fetal movement, no fetal malformations. Admission diagnosis: 36 weeks pregnant labor, LoA (leqt occipito