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患者女,27岁,住院号82374。因第一胎孕38周,宫内孕双胎临产,于1982年7月26日1时入院。约2小时前出现阵阵腹痛,1小时前腹痛间隔时间缩短。体检:T36.6℃,P86次/分,Bp140/100mmHg,心肺正常,下肢水肿(+)。腹围104cm,宫高32cm。腹部触及两个胎体,纵产式,胎位未能扪清。脐左下方听诊胎心140次/分,右上方为147次/分。肛查:先露为头,高度±,宫口已近开全。宫口开全后行会阴侧切术,顺利娩出一女一男两活婴。
Female patient, 27 years old, hospital ad 82374. Because of the first pregnancy 38 weeks of pregnancy, intrauterine pregnancy twin abortion, at 1:00 on July 26, 1982 admitted. About 2 hours ago bursts of abdominal pain, 1 hour before the abdominal pain interval time shortened. Physical examination: T36.6 ℃, P86 times / min, Bp140 / 100mmHg, cardiopulmonary normal, lower extremity edema (+). Abdominal circumference 104cm, palace height 32cm. Abdominal touches two carcasses, longitudinal type, fetal position palpable clear. Lower left umbilical auscultation fetal heart rate 140 beats / min, the upper right is 147 beats / min. Anal check: first dew for the first time, height ±, cervix is almost full open. Miyaguchi open full line perineal excision, smooth delivery of a woman, a man and two live infants.