论文部分内容阅读
例1:24岁,于1978年3月20日因妊娠36周合并晚期妊娠中毒症来诊。末次月经1977年7月10日,预产期1978年4月13日。闭经后除有轻度早孕反应外,其他无异常,妊娠6个月时产科检查诊断为双胎,入院前经常有头昏,有时腹痛和双下肢浮肿。检查:T36.2℃,Bp136/96mmHg,心肺正常,腹部膨隆正中有一纵沟,明显的双子宫界限,腹围102cm,宫底高35cm,无宫缩,腹部左右可触得两个胎儿,左侧为左枕前位,胎心强140次/分,儿头已入盆。右侧为右枕前位,胎心略弱130次/分,儿头尚未入盆。产科阴道检查:
Cases of 1:24 years old, on March 20, 1978 because of pregnancy with 36 weeks of pregnancy complications of pregnancy diagnosis. The last menstrual period July 10, 1977, the expected date of April 13, 1978. In addition to a mild early pregnancy after amenorrhea reaction, the other no abnormalities, 6 months of pregnancy obstetric examination was diagnosed twins, often dizzy before admission, and sometimes abdominal pain and lower extremity edema. Check: T36.2 ℃, Bp136 / 96mmHg, normal cardiopulmonary, abdominal bulging in the middle of a longitudinal groove, the obvious boundaries of the double uterus, abdominal circumference 102cm, palace height 35cm, no contractions, the abdomen can touch two fetus left and right, left Side of the left pillow before the fetal heart rate 140 times / min, the child has been into the basin. The right side of the right pillow, fetal heart slightly weaker 130 times / min, children have not yet into the basin. Obstetric vaginal examination: