病例女患,23岁。因妊娠足月,腹痛68小时,阴道流水24小时入院。查体:子宫轮廓存在,胎体不清,子宫下段压痛,病理收缩环于脐上1cm,内诊宫颈消失,宫口开全,胎头于耻骨联合上方,胎位不清。肛诊:触及似儿头大肿物嵌于子宫直肠窝内。诊断:1.妊娠40周合并卵巢瘤;2.阻塞先露下降致子宫不全破裂;3.胎儿窘迫。在硬膜外麻醉下剖 Female patient, 23 years old. Due to pregnancy full-term, abdominal pain 68 hours, vaginal water admission 24 hours. Physical examination: the existence of the uterus contour, the carcass is not clear, the lower uterine tenderness, pathological contractions ring in the umbilical 1cm, the disappearance of the cervix, cervix open the entire fetal head at the pubic symphysis, fetal position unclear. Rectal examination: Touched like a big tumor embedded in the rectum fossa. Diagnosis: 1. Pregnancy 40 weeks with ovarian cancer; 2. Premature obstruction caused by rupture of the uterus rupture; 3. Fetal distress. Section under epidural anesthesia