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1病例介绍患者,女,28岁,于2011-7-1400:45以“停经9+月,不规律腹痛4小时”为主诉入院。孕期顺利,系二胎,于05年在中医院剖宫产壹男活婴。查体:T36,5℃,P82次/分,R20次/分,BP130/90mmHg,心肺叩诊正常,腹隆如孕月状大小,胎心158次/分,可见耻上一横指有一长约10cm瘢痕。产科检查:宫高32cm,腹围102cm,胎儿估计体重3.4kg,宫口1cm,颈管半消失,无破水,先露头,S=-3,骨盆外测量均正常。辅助检查:WBC10.04×10~9/L,HB98次/分,RBC3.4×10~9/L,PLT292×10~9/L,HCT0.33,彩超:晚妊单活胎,双顶径94mm,头先露,枕左横
1 case description The patient, female, 28 years old, in 2011-7-1400: 45 to “menopause 9+ months, irregular abdominal pain for 4 hours ” mainly for admission. Successful pregnancy, the second child, in 2005 in the Chinese Academy of Cesarean birth one male live baby. Physical examination: T36,5 ℃, P82 times / min, R20 beats / min, BP130 / 90mmHg, pericardial percussion normal, abdominal length as the size of pregnant month, fetal heart rate 158 beats / min, 10cm scar. Obstetric examination: Palace height 32cm, abdominal circumference 102cm, estimated fetal weight 3.4kg, cervix 1cm, cervical canal half disappeared, no broken water, first outcrop, S = -3, pelvic measurements were normal. Auxiliary examination: WBC10.04 × 10 ~ 9 / L, HB98 beats / min, RBC3.4 × 10 ~ 9 / L, PLT292 × 10 ~ 9 / L, HCT0.33, Path 94mm, the first first exposed, pillow left horizontal