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患者女,27岁,因“停经9个月,胎心监护有减速”于2010年2月11日13:00入院。入院诊断:①孕36+6周,孕2产0,左枕横位(LOT)/右枕横位(ROT)。②双胎妊娠。产科检查:宫高40cm,腹围108cm,LOT/ROT,先露浮,未及宫缩。未足月暂未行肛查。入院后复查B超提示一胎死胎,住院当晚因“双胎,一胎死亡”在腰硬联合麻醉下行子宫下段剖宫产术,以LOT娩出一早产活女婴,生后无窒息,羊水清,量300mL,以LOP娩出一死男胎,死胎羊水粪染,
Female patient, 27 years old, due to “9 months after menopause, fetal heart rate monitoring deceleration ” at February 11, 2010 at 13:00 admission. Admission diagnosis: ① 36 + 6 weeks pregnant, 2 pregnant 0, left occiput transverse (LOT) / right occiput transverse (ROT). ② twin pregnancy. Obstetric examination: Gong Gao 40cm, abdominal circumference 108cm, LOT / ROT, first exposed floating, not contractions. Insufficient anal temporary investigation. B-retrospective examination after admission prompted a stillbirth, night of hospitalization due to “twins, one child died ” in the lower uterine cesarean section under spinal and epidural anesthesia to LOT delivery of a premature baby, after birth, no asphyxia, Amniotic fluid, the amount of 300mL to LOP to give birth to a dead boy, died of amniotic meconium staining,