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患者,24岁,孕_1产_0,因妊娠37~(+3)周,两天前无诱因自觉胎动频繁,来门诊第一次产前检查,发现胎心音不清入院。发病以来无腹痛及阴道流液。既往无高血压史。否认腹部外伤史。体格检查:T36℃、P80次/分、R18次/分、BP13.5/8KPa。神清,心肺正常,腹部膨降,宫高32cm,腹围98cm,无明显宫缩,未闻及胎心音。并经胎心音监护仪证实。双下肢浮肿(+)。妇科内诊:颈管消失,宫口容1指松,触及羊膜囊,先露头,棘上1cm。实验室检查:WBC72×10~9/L、Hb1059%、
Patients, 24 years old, pregnancy _1 production _0, due to 37 ~ (+3) weeks of pregnancy, two days ago, there is no incentive for fetal movement frequently, to the clinic for the first time of prenatal care, fetal heart sounds were not clear admission. Since the onset of abdominal pain and vaginal fluid. No previous history of hypertension. Denied the history of abdominal trauma. Physical examination: T36 ℃, P80 beats / min, R18 beats / min, BP13.5 / 8KPa. Clear, normal lung and heart, abdomen bulge, Palace height 32cm, abdominal circumference 98cm, no significant contractions, no smell and fetal heart sound. And confirmed by fetal heart sound monitor. Lower extremity edema (+). Gynecological clinic: disappearance of the neck, cervix 1 refers to loose, reach the amniotic sac, the first outcrop, spine 1cm. Laboratory tests: WBC72 × 10 ~ 9 / L, Hb1059%,