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巨大膀胱结石致产道梗阻临床上甚少见,我们遇到1例,现报告如下。患者覃某某,32岁。孕5产3,流产1。末次月经1986年3月18日。因剧烈腹痛、破水、胎儿不能娩出于1986年12月13日急诊入院。3年来常出现膀胱刺激症状,且不时有血尿。此次妊娠后常有尿失禁。体检:宫底脐下四横指,枕左前位。胎心率150次/min。宫口已开全,先露部达坐骨棘水平下1cm。宫缩有力,阴道前壁隆起、水肿、淤血,明显压痛,其内有一拳头大坚硬如石的肿物,活动度差,不能往上推,阻碍胎头下降。诊断:足月妊娠,枕左
Large bladder stones caused by obstetric obstetrics clinically rare, we encountered 1 case, are as follows. Tan Moumou patients, 32 years old. Pregnancy 5 3, abortion 1. The last menstruation March 18, 1986. Due to severe abdominal pain, broken water, the fetus can not be delivered in December 13, 1986 emergency room admission. 3 years often appear bladder irritation, and occasionally hematuria. After this pregnancy often urinary incontinence. Physical examination: Uterus under the palace four cross refers to the left front pillow. Fetal heart rate 150 beats / min. Miyaguchi has been opened, the first part of the Department of derma sciatic spine level 1cm. Contractions potent, anterior vaginal wall uplift, edema, congestion, tenderness, which has a fist as hard as a stone of the tumor, poor activity, can not push up, hinder fetal head down. Diagnosis: full-term pregnancy, pillow left