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患者女性,26岁。因足月妊娠,规律性宫缩48小时,破水36小时于64年1月4日来院产科分娩。检查:痛苦表情,营养欠佳,头颈、胸部无异常。宫缩急而规律,宫底剑突下三指,右枕前位,头先露,胎心176次/分。肛门指诊;见肛门左侧齿状线上有约5×5×4厘米~3大之触痛肿物,棕黑色,表面有小的溃疡面及暗红色血液,极臭。质脆,有粗蒂。在直肠前壁亦有如8×8×5厘米~3大之肿物,表面不平,结节感。致使宫颈及宫口不能扪清。阴道检查:阴道后壁已为上述巨块所占据,阴道狭窄,仅可容一指通过,且不能扪及宫颈。证明此即为分娩受阻之原因。处理:为避免子宫破裂,立即行急手术,剖腹取
Patient female, 26 years old. Due to term pregnancy, regular contractions 48 hours, broken water 36 hours on January 4, 64 to hospital obstetric delivery. Check: painful expression, poor nutrition, head and neck, chest no abnormalities. Palace emergency and regular, Gong Jian under the three fingers, right anterior occipital, first dew, fetal heart 176 times / min. Anal fingering; see the anal left dentate line has about 5 × 5 × 4 cm ~ 3 large touch of tenderness, brown black, the surface of a small ulcers and dark red blood, very smelly. Crisp, rough. In the anterior rectal wall is also like 8 × 8 × 5 cm ~ 3 large tumor, the surface uneven nodules. Cause the cervix and cervix can not palpitate Qing. Vaginal examination: the posterior wall of the vagina has been occupied by the huge piece of vagina, narrow vagina, only one finger for one, and can not palpable cervix. Prove that this is the reason for the obstruction of labor. Treatment: In order to avoid rupture of the uterus, urgent emergency surgery, Caesarean section