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病例资料患者,34岁,女,因“孕4产2孕28+周,腹痛1 d”收入笔者所在医院产科。患者入院前1 d无诱因出现下腹胀痛,为持续性隐痛,阵发性加重,伴里急后重,便后腹痛缓解,无阴道流血、流水,自觉胎动正常,遂来医院就诊。专科检查:腹形呈纵椭圆,腹围76 cm,宫高23 cm,胎方位LOA,胎心音145次/min,有不规则弱宫缩,先露头,已衔接,跨耻征阴性。肛查:宫颈管消失100%,宫颈位置中,宫颈质
Case information patients, 34 years old, female, because “Pregnancy 4 2 pregnant 28 + weeks, abdominal pain 1 d ” income of the author’s hospital obstetrics. The patients were admitted to the hospital 1 d before induction of abdominal pain without cause, persistent pain, paroxysmal aggravation, with tenesmus, abdominal pain relief, no vaginal bleeding, water, conscious fetal movement, then came to the hospital. Specialist examination: abdominal longitudinal oval, abdominal circumference 76 cm, 23 cm high palace, fetal position LOA, fetal heart rate 145 beats / min, irregular weak contractions, outcrops, convergence, cross-hum than negative. Anal investigation: cervical canal disappeared 100%, cervical position, cervical quality