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患者23岁,孕4产0,因“停经34周~(+5),腹痛半小时”于2014年12月5日13:22急诊入院。既往有1次人工流产、2次自然流产史。于2013年10月在华西附二院行宫腔镜子宫纵隔切除术,术后自然妊娠并行规范产前检查至今。入院查体:生命体征平稳,神智清醒,一般情况好,颈软,心肺未见明显异常,腹膨隆,肝脾肋下未及。产科检查:宫高29cm,腹围92cm,估计胎儿体质量2 500g。先露头,未入盆,胎心率140次/分,可扪及不规律宫缩,无阴道出血,宫口未开。入院查彩超无明显异常发现。入院诊断:孕4产0,妊娠34周~(+5),头位,宫内单活胎;先兆早产;子宫纵隔切除术后。
The patient was 23 years old and had 4 pregnancies and 0 because of “menopause for 34 weeks ~ (+5), abdominal pain for half an hour.” At December 22, 2014, at 13:22, the emergency department was admitted. Past 1 abortion, 2 times the history of spontaneous abortion. Hystroscopic hysteroscopic resection of the mediastinum in the Second Affiliated Hospital of Huaxi in October 2013, and postnatal natural pregnancy were conducted in parallel with prenatal examination. Admission examination: vital signs stable, sober-minded, generally good, soft neck, no obvious abnormal heart and lung, abdominal bulging, liver and spleen ribs and not yet. Obstetric examination: Palace height 29cm, abdominal circumference 92cm, estimated fetal body mass 2 500g. First outcrop, not into the basin, fetal heart rate 140 beats / min, palpable irregular contractions, no vaginal bleeding, cervix is not open. Admission color check no significant abnormalities found. Admission diagnosis: pregnancy 4 0, 34 weeks of pregnancy ~ (+5), the first position, intrauterine single live fetus; threatened premature labor; uterine mediastinal resection.