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玄某,28岁,工人,病历号为78245。第一胎足月妊娠,因阵发性腹痛及阴道流羊水1小时于1993年2月25日入院。玄某23岁结婚,婚后5年未孕,于1989年曾到延边医院检查,做输卵管造影、B超及子宫内膜病理检查诊断为双子宫、双宫颈,阴道不全纵隔,无排卵性子宫内膜。经药物促排卵治疗一年后受孕。末次月经为1992年5月20日。停经后有早孕反应,妊娠5个月有胎动感,妊娠经过顺利,预产期为1993年2月27日。入院产科检查:宫底剑下3横指,左枕前,胎心120次/分,头先露,浮动,经内诊检查见有阴道不全纵隔,可触及2个宫颈,右侧宫口开大2cm,已破膜,羊水Ⅱ°棍浊,左侧宫颈未开。考虑阴道分娩可造成胎儿宫内窘迫以及死亡,子宫破裂或宫颈裂伤大出血,母
Hyun a, 28 years old, workers, medical records for the 78245. The first full-term pregnancy, due to paroxysmal abdominal pain and vaginal fluid amniotic fluid 1 hour on February 25, 1993 admission. Xuanmou 23 years old married, 5 years after marriage is not pregnant, in 1989 went to Yanbian Hospital, tubal, B ultrasound and endometrial biopsy diagnosed as double uterus, double cervix, vaginal incomplete mediastinal anovulatory uterus Intima. After the drug ovulation therapy one year after conception. The last menstruation is May 20, 1992. Postmenopausal pregnancy response, pregnancy 5 months have fetal movement, pregnancy passed the expected date of February 27, 1993. Admission obstetric examination: Palace under the sword 3 horizontal, left occipital, fetal heart rate 120 beats / min, the first first exposed, floating, the vaginal findings of mediastinal mediastinal examination, can touch the two cervix, the right cervix Large 2cm, broken membrane, amniotic fluid Ⅱ ° sticky cloud, left cervix is not open. Consider vaginal delivery can cause fetal distress and death, uterine rupture or cervical laceration bleeding, mother