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患者27岁,住院号43079,于1988年1月26日临产入院。患者二年前曾因多饮、多尿、烦渴在内科门诊检查诊断尿崩症,由于病人服药无规律,病情时轻时置,此次孕5个月时病情加重,住本院内科,口服双氢克尿塞及氯磺丙脲,治疗17天症状减轻自动出院,继续服药直至临产。检查:Bp110/70mmHg,心肺正常,子宫底高度34cm,腹围102cm,胎心140次/分,宫口开大3cm。宫口开大8cm 自然破膜,羊水混浊(++),宫口开全后胎心变慢100次/分,胎吸下娩一男婴3800g,脐带绕颈2周,新生儿Apgar 评分:1分钟6分,5分钟10分,胎盘胎膜完整娩出,出血250ml,肌注催产素20U,产后3小时一阵阴道流血150ml,肌注麦角0.2mg,用麦角后1小时产妇突然呕吐,当时测
Patient 27 years old, hospital number 43079, was admitted to hospital on January 26, 1988. Two years ago, the patient was diagnosed with diabetes insipidus due to drink more, polydipsia and polydipsia in the medical outpatient department. Due to irregular medication and mild illness, the patient became aggravated when he was 5 months old and lived in our department of internal medicine. Oral hydrochlorothiazide and chlorpropamide, the symptoms were relieved for 17 days to discharge, continue to take medication until the abortion. Check: Bp110 / 70mmHg, normal cardiopulmonary, endometrial heights 34cm, abdominal circumference 102cm, fetal heart rate 140 beats / min, cervix open 3cm. Cervix open 8cm natural rupture of the membrane, amniotic fluid opacity (++), cervix open full fetal heart rate 100 times / min, fetus birth giving birth a baby 3800g, cord around the neck for 2 weeks, newborn Apgar score: 1 Minutes 6 minutes, 5 minutes 10 minutes, complete delivery of placental membranes, bleeding 250ml, intramuscular oxytocin 20U, 3 hours postpartum vaginal bleeding 150ml, intramuscular ergot 0.2mg, maternal hormones with 1 hour after sudden vomiting, when the test