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孕妇26岁,孕1产0,孕39~(-3)周,阵发性腹痛4小时入院。既往月经规律,末次月经1997年1月24日,预产期1997年10月31日,停经40~+天出现早孕反应,孕4月感胎动,妊娠过程顺利,未行产前检查。查体:宫高30cm,腹围96cm,胎位LOA,胎心音140次/分。羊水量中等。肛查:宫口开1.5cm,头先露,棘上1cm,羊膜未破。其余体检未见异常。入院后产程进展顺利,第二产程30分钟,曾出现胎心音减
Pregnant women 26 years old, pregnant 1 0, 39 weeks pregnant (-3) weeks, 4 hours of paroxysmal abdominal pain admitted. Previous menstrual regularity, the last menstrual January 24, 1997, the expected date of October 31, 1997, menopause 40 ~ + days of early pregnancy reaction, pregnant in April a sense of fetal movement, the pregnancy process smoothly, without prenatal care. Examination: Palace high 30cm, abdominal circumference 96cm, fetal LOA, fetal heart sound 140 beats / min. Medium amniotic fluid. Anal examination: Palace mouth open 1.5cm, first exposed, spine on 1cm, amniotic membrane is not broken. The rest of the examination no abnormalities. After admission, labor progressing smoothly, the second stage of labor for 30 minutes, there have been fetal heart sound reduction