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患者26岁,孕1产0,住院号296567.停经40周,阴道流液伴无痛性流血10小时(量约400ml),阵发性腹痛4小时,于1985年7月25日入院.末次月经1984年10月14日,预产期1985年7月21日,孕期多次检查无异常.既往健康,月经规律.体检:Bp16.0/10.7kPa,一般状况好,腹围92cm,宫高32cm,胎位ROA,胎心听不到,宫口开大3cm,胎膜已破,先露部棘下1cm,阴道有少量流血,色鲜红。实验室检查:血红蛋白61g/L,红细胞1.95×10~(12)/L,白细胞5.8×10~9/L,血小板165×10~9/L.入院初步诊断:①妊娠40周临产,ROA;②前置胎盘;③死胎.给0.5%催产素静脉滴注,自然娩出一女死婴,5分钟后胎盘、胎
The patient was 26 years old, pregnant and 1 producing 0, hospital number 296567. Menopausal 40 weeks, vaginal fluid with painless bleeding for 10 hours (about 400ml), paroxysmal abdominal pain for 4 hours, on July 25, 1985 admission. Menstruation October 14, 1984, the expected date of July 21, 1985, during pregnancy multiple checks without exception. Previous health, menstrual regularity. Physical examination: Bp16.0 / 10.7kPa, the general condition is good, abdominal circumference 92cm, Palace height 32cm, Fetal position ROA, fetal heart can not hear, cervix open large 3cm, fetal membranes have been broken, the first dew spines 1cm, a small amount of vaginal bleeding, color red. Laboratory tests: hemoglobin 61g / L, red blood cells 1.95 × 10-12 / L, white blood cells 5.8 × 10 ~ 9 / L, platelets 165 × 10 ~ 9 / L. Preliminary diagnosis of admission: ① 40 weeks of pregnancy labor, ROA; ② placenta previa; ③ stillbirth. To 0.5% oxytocin intravenous infusion of a female child dead baby naturally, 5 minutes after the placenta, fetal