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患者付××,23岁。因妊娠39周腹部轻微持续性疼痛20天,胎动停止6小时,于1992年7月24日住院。3年前因妊娠6个月中央性前置胎盘、失血性休克行剖宫产术。查体:血压、体温、脉搏、呼吸均正常。无贫血貌。心、肺无异常。下腹正中有瘢痕长约12cm,无压痛。产科检查:外阴已婚未产型,宫口未开,骨盆正常。宫底位于剑突下三横指,胎头下方,无胎心音,未入盆,无宫缩,子宫无压痛。辅助检查:白细胞43.8×10~9/L,血红蛋白129/L。诊断:孕_2产_1,胎死宫内。立即行先锋
Patients pay × ×, 23 years old. Due to mild abdominal pain at 39 weeks gestation for 20 days, fetal movement stopped 6 hours and was hospitalized on July 24, 1992. 3 years ago due to 6 months of pregnancy, the central placenta previa, hemorrhagic shock cesarean section. Physical examination: blood pressure, body temperature, pulse, breathing are normal. No anemia appearance. Heart, lungs without exception. The middle of the lower abdomen with scar length of about 12cm, no tenderness. Obstetric examination: genital married unproductive type, cervix is not open, the pelvis is normal. Palace at the bottom of the xiphoid three horizontal fingers, fetal head below, no fetal heart sound, not into the basin, no contractions, no tenderness in the uterus. Auxiliary examination: white blood cells 43.8 × 10 ~ 9 / L, hemoglobin 129 / L. Diagnosis: pregnancy _2 _1, fetal death in the womb. Pioneer immediately