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患者女,36岁。因停经40~(+6)周伴阴道流水4天,于1991年8月24日来我院检查。拟诊横位待产、胎膜早破收住院。查体:T36.8℃,BP13/9kPa,心肺(-)。产科情况;宫高31cm,腹围85cm,胎头偏于一侧位于右下腹,呈斜位,胎心140次分。阴道检查:宫颈管未消失,宫颈外口松,探入宫颈管,未及胎先露。胎膜已破,有胎粪样羊水流出。在宫颈管后壁及后穹窿处能触及一范围较大,质地较硬肿块约15×15×15cm 大小,不活动。B 超检查示:1.子宫肌瘤(在胎头前方),2.晚妊(斜位,羊水偏少)。入院当日下
Female patient, 36 years old. Due to menopause 40 ~ (+6) weeks with vaginal water for 4 days, in August 24, 1991 to our hospital examination. The proposed diagnosis of lateral delivery, premature rupture of membranes admitted to hospital. Physical examination: T36.8 ℃, BP13 / 9kPa, cardiopulmonary (-). Obstetric conditions; Palace height 31cm, abdominal circumference 85cm, fetal head biased to the side of the right lower quadrant was oblique, fetal heart 140 points. Vaginal examination: cervical canal did not disappear, cervix cesarean section, exploration into the cervical canal, before the birth of the fetus. Membrane has been broken, meconium-like amniotic fluid outflow. In the posterior wall of the cervical canal and posterior fornix to reach a larger range, texture of hard mass about 15 × 15 × 15cm size, inactivity. B-ultrasound showed: 1. Uterine fibroids (in front of the fetal head), 2. Late pregnancy (oblique position, oligohydramnios). On the day of admission