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患者女,23岁,农民。初孕,停经9个月,阵发性腹痛10余时入院,查体正常,产科见宫底于剑突下4横指,左枕前位,胎心138次/分,头浮,宫口开大3cm。髂前上棘间径23cm,髂嵴间径25cm,骶耻外径18cm,出口横径8.5cm。诊断为宫内孕第一胎,孕39周临产。入院两个多小时后腹痛加剧,宫缩加强,在排空膀胱后宫底比入院时升高二横指,头浮。内诊检
Female patient, 23 years old, farmer. First trimester, menopause 9 months, paroxysmal abdominal pain more than 10 admission, physical examination, obstetrics see the bottom of the palace in the xiphoid 4 horizontal fingers, left anterior occipital, fetal heart rate 138 beats / min, head floating, cervix Open large 3cm. Anterior superior iliac spine diameter 23cm, iliac crest diameter 25cm, sacral shame diameter 18cm, exit diameter 8.5cm. Diagnosis of intrauterine pregnancy first child, 39 weeks pregnant labor. More than two hours after admission increased abdominal pain, contractions to strengthen the emptying of the posterior uterus at the end of the palace than when the hospital raised two horizontal fingers, head floating. Internal examination