论文部分内容阅读
患者32岁,孕3产2,孕34周。停经50天时曾患流感,早孕反应轻。孕21周感有胎动,近1个月自觉腹部增大明显,活动后心悸、气短,故来院要求中止妊娠。曾足月顺产2次,均为正常女婴。查体:双下肢水肿(+),腹部膨隆,腹围98cm。右骶前位,胎心130次/min。诊断为宫内孕34周,臀位。入院后,即经腹行羊膜腔内穿刺术。术中抽出清晰羊水,羊膜腔内注入0.1%利凡诺10mi,观察孕妇无药物反应后送病房待产。术后30小时有规律宫缩,7小时后自然破膜。阴道检查:见宫口开大8cm,胎膜已破,双足先露,双手堵住先露部。经
Patients 32 years old, 3 pregnant and 2 pregnant, 34 weeks pregnant. 50 days after menopause had flu, early pregnancy reaction light. Pregnancy 21 weeks have a sense of fetal movement, nearly 1 month conscious abdominal increased significantly after the event palpitations, shortness of breath, it came to the hospital to suspend the pregnancy. Full-term pregnancy has 2 times, are normal baby girl. Examination: Lower extremity edema (+), abdominal bulging, abdominal circumference 98cm. Right anterior sacral, fetal heart 130 times / min. Diagnosis of intrauterine pregnancy for 34 weeks, breech. After admission, the transabdominal amniocentesis. Clear intraoperative amniotic fluid, amniotic cavity injection of 0.1% rivanovan 10mi, observation of pregnant women without drug response to the ward to be delivered. After 30 hours of regular contractions, natural rupture of membranes after 7 hours. Vaginal examination: see the cervix open large 8cm, fetal membranes have been broken, both feet first dew, hands blocked the first exposed. through