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患者,张某,28岁,住院号97—2527,因停经36~(+5)周,不规划腹痛3小时于97年4月22日入院。查体:T37.0℃,BP14/8kpa,心肺听诊无异常,宫高30cm,腹围88cm,胎方位LOA,胎心音144次/分。肛查:宫口开一指,头先露,S~(-1.5)。血常规:WBC 5.2×10~9/L,Hb 111g/L,N 0.70,L 0.30。 第二天开始出现规律宫缩,早晨6时肛查:宫口2～3cm,8时阴道检查:骨软产道无异常,宫口3cm,人工破膜,羊水Ⅱ°,予0.4％催产素静滴,11时肛查宫口5～6cm,13时阴道检查宫口仍5～6cm,触及一小产瘤,头+1,因估计胎儿较小,宫缩无力,加用催产素静滴,一小时后再查,宫口仍6cm,头+1而行剖宫产术,术中见子宫下段肌层轻度水肿,羊水Ⅱ°,手术顺利,出血约250ml,术后予氧哌嗪青霉素6.0、丁胺卡那0.4静滴,术后数日
Patient, Zhang, 28 years old, hospital number 97-2527, due to menopause 36 ~ (+5) weeks, not planning abdominal pain for 3 hours on April 22, 1997 admission. Examination: T37.0 ℃, BP14 / 8kpa, cardiopulmonary auscultation no abnormalities, Palace height 30cm, abdominal circumference 88cm, fetal position LOA, fetal heart sound 144 beats / min. Anal examination: Miyaguchi open a finger, first dew, S ~ (-1.5). Blood: WBC 5.2 × 10 ~ 9 / L, Hb 111g / L, N 0.70, L 0.30. The next day began to appear regular contractions, 6:00 in the morning anal examination: cervix 2 ~ 3cm, 8:00 vaginal examination: no abnormal bone production, cervix 3cm, artificial rupture of membranes, amniotic fluid Ⅱ °, to 0.4% oxytocin Drop, 11 when the anal cervix 5 ~ 6cm, vaginal examination at 13:00 cervix is still 5 ~ 6cm, touching a small tumor, head +1, due to the estimated fetal smaller, contractions weakness, plus intravenous infusion of oxytocin, An hour later, the cervix is still 6cm, +1 head cesarean section, intraoperative see the lower uterine muscle mild edema, amniotic fluid Ⅱ °, smooth operation, bleeding about 250ml, postoperative to piperazine penicillin 6.0, 0.4 amine butylamine intravenous infusion, after a few days