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患者,28岁,初孕妇,停经43周,腹痛50小时,行土法接生,宫口已开全8小时,胎儿仍未娩出,急来我院就诊。查体:产妇子宫发育正常,营养中等,神智清,弱智。BP15/9kPa,T37.8℃,宫底剑下3指,胎心左下腹部规律136次/min。肛诊宫口已开全。征得产妇家属同意,立即行剖宫产术。术中发现子宫下段破裂,胎头嵌顿于子宫裂口处,羊水Ⅲ度污染。胎儿娩出后发现胎儿脑积水,无心跳、呼吸,胎儿皮肤破溃,Ap-
Patients, 28 years old, first pregnant women, menopause for 43 weeks, abdominal pain for 50 hours, the line of local delivery, cervix has been opened all 8 hours, the fetus has not yet delivered, urgent medical treatment. Physical examination: normal uterine maternal development, moderate nutrition, clear mind, mentally retarded. BP15 / 9kPa, T37.8 ℃, 3 fingers under the palace sword, fetal heart rate lower left abdomen 136 times / min. Anal clinic cervix has been opened full. Obtain maternal consent, immediate cesarean section. Intraoperative findings of lower uterine rupture, fetal head incarcerated at the uterine incision, amniotic fluid III degree of pollution. Fetal hydrocephalus was found after delivery of the fetus, no heartbeat, breathing, fetal skin ulceration, Ap-