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例1,陈某,因腹痛3 1/2h于1993年5月17日以G_2P_1孕40周LOA临产入院。患者2年前初胎孕足月足先露在当地卫生院分娩,牵拉儿头时十分困难,由3人合力拉出,新生儿死亡。产后大便失禁,自觉阴道有排气。入院检:会阴正中旧裂,肛门括约肌断裂,阴道直肠膈正中瘘长约2.5 cm。宫口开全,已破膜。立即消毒铺巾,1 min后自娩一男活婴,体重3 200g。检查:阴道直肠瘘上延1 cm,行常规缝合,外缝6针,住院10d痊愈出院。产后42 d复查会阴切口愈合佳,阴道直肠膈修补处平整,大便正常。
Example 1, Chen, due to abdominal pain 3 1/2 h on May 17, 1993 to G_2P_1 pregnant 40 weeks LOA admission to hospital. 2 years ago, the patient had full-term pregnancy at the first full-term pregnancy at the local hospital for childbirth, pulling the child’s head was very difficult to pull out by three people, the newborn child died. Postpartum fecal incontinence, conscious vaginal discharge. Hospitalization: the middle of the perineal old split, anal sphincter rupture, vaginal, median diaphragmatic fistula length of about 2.5 cm. Palace mouth open, has broken the membrane. Immediately disinfected shop towels, 1 min after delivery of a male living baby, weighing 3 200g. Check: Vaginal rectal fistula on the extension of 1 cm, routine suture, 6-seam, hospitalized 10d cured. Postpartum 42d review perineal incision healed better, vaginal and rectal diaphragm repair at the formation of normal stool.