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例1,25岁,孕_1产_0。因37~+周孕,胎膜早破于1984年11月11日入院。检查:无头盆不称当宫口开全2小时、胎心变快行胎头吸引术助产结束分娩。会阴左斜切开、长约5cm,助产一次成功。胎儿左枕前手抱肩迅速娩出,男婴,3250克,青紫窒息,吸痰自啼。术者缝合伤口3针时学员发现缝合的组织颜色不同于阴道粘膜,遂请医生,肛查直肠不通,已被缝合。拆除缝线,直肠下段2点钟位纵裂4cm,阴道裂口3cm,与直肠贯通,裂口边缘齐,有少量出血,肛门括约肌1/3部分断裂,会阴切口向内下裂伤口3cm,呈T字形,诊断会阴Ⅱ度裂伤。
Example 1,25 years old, pregnant _1 _0. Due to 37 ~ + weeks pregnant, premature rupture of membranes in November 11, 1984 admission. Check: No head basin is not called when the cervix open all 2 hours, fetal heart rate faster fetal head suction surgery to end delivery. Perineal left oblique incision, about 5cm, a midwifery success. Fetal left pillow before hand shoulder quickly delivered baby boy, 3250 grams, purple suffocation, suction sputum from the cry. The surgeon stitched the wound 3 needle when the students found that the color of the stitched tissue is different from the vaginal mucosa, then ask the doctor, anal rectal barrier, has been sutured. Removal of sutures, rectal lower limb at 2 o’clock Longitudinal split 4cm, vaginal rips 3cm, and the rectum through, the edge of the rims Qi, a small amount of bleeding, anal sphincter 1/3 part rupture, perineal incision inward rupture wound 3cm, T-shaped , Diagnosis of perineal laceration Ⅱ degree.