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患者,26岁,妊娠40周,阴道流液6小时,无阵发性腹痛,在当地卫生院B超诊断为横位,于1991年2月11日入院。孕4个月时出现胎动,妊娠经过顺利。既往健康,月经正常,孕5产4,均为妊娠7～8个月横位早产,无一存活. 体检:全身情况良好,儿头右侧,宫颈略展平,宫口开大4cm.胎膜已破,先露部右肩前.诊断为横位,胎膜早破。在硬膜外麻下行子宫下段剖宫产术,术前留置导尿管。术中发
The patient, 26 years of age, 40 weeks of gestation, vaginal fluid for 6 hours, had no paroxysmal abdominal pain and was diagnosed at the local hospital as a transverse B-scan and was admitted on February 11, 1991. Pregnancy 4 months when there fetal movement, pregnancy went well. Past health, normal menstruation, 5 pregnant 4, are 7 to 8 months of pregnancy horizontal premature birth, none of the survivors. Physical examination: the general condition is good, the right side of the child, slightly flat cervix, cervix open 4cm. Membrane has been broken, the first dew right shoulder before the diagnosis of transverse, premature rupture of membranes. Epidural anesthesia in the lower uterine segment cesarean section, preoperative catheterization. Intraoperative hair