论文部分内容阅读
患者25岁,住院号69405。妊娠38周因阵发性腹痛26小时,于1992年8月22日7时入院待产。查体:一般状态佳,宫高33cm,腹围106cm,胎头下方,衔接,胎心142次/分,骨盆外测量正常。宫颈消失,宫口开大8cm,胎泡存在,胎头S~(-3)。入院后因宫缩乏力滞产,以5U催产素加入5％葡萄糖500ml每分钟16滴静脉点滴,产妇仰卧于产床上,历时4小时50分,宫口开全,胎头S~(+2),因胎心音持续160次/分以上,行会阴侧切、产钳术经阴道分娩—足月女婴,重3750g,脐带绕颈2周,新生儿一分钟内Apgar评分3分,5分钟后评7分,存活。胎盘在胎儿娩出5分
Patient 25 years old, hospital number 69405. 38 weeks of pregnancy because of paroxysmal abdominal pain 26 hours, at 22:00 on August 22, 1992 admission to be produced. Physical examination: the general state of good, Palace Height 33cm, abdominal circumference 106cm, below the fetal head, convergence, fetal heart rate 142 beats / min, pelvic measurement is normal. The cervix disappears, cervix open large 8cm, fetal existence, fetal head S ~ (-3). Admission due to uterine inertia due to labor, to 5U oxytocin 5% glucose 500ml per minute drop of 16 intravenous drip, maternal supine in the delivery bed, which lasted 4 hours and 50 minutes, open the cervix, fetal head S ~ (+2) , Due to fetal heart sound continued 160 beats / min or more, the line will be episiotomy vaginal delivery, forceps vaginal delivery - full-term baby girl, weighing 3750g, umbilical cord around the neck for 2 weeks, Neonat Apgar score within 3 minutes, 5 minutes after the comment 7 points, survive. Placenta delivered 5 points in the fetus