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由于脐带本身异常致成死胎者并非少见,但脐带血管破裂形成血肿而致胎儿宫内死亡甚为罕见,最近我院遇到一例,兹报告如下,以供同道参考。患者唐××,44岁,住院号109367,因停经9~+月、胎动消失9天、不规律腹坠及阴道流水48小时,而于1963年8月27日入院。诊断为足月妊娠临产(孕8、产5),死胎,早期破膜(?)。产妇既往身体健康,月经规律,15(5-6)/(30~+),量不多,无痛经。平日白带少,无臭味,曾怀孕8次,足月产5次,小产2次,否认性病史,自诉于入院前曾和邻居争吵、打架,但腹部未遭受直接暴力。入院时一般情况好。阵缩变紧。子宫无压痛。胎位为右枕后位。
Due to abnormal umbilical cord itself is not uncommon cause of fetal death, but the formation of hematoma umbilical cord rupture and intrauterine fetal death is very rare, recently encountered a hospital, it is reported below, for fellow reference. Patients Tang × ×, 44 years old, hospital number 109367, due to menopause 9 ~ + month, fetal movement disappeared 9 days, irregular abdomen and vaginal water flow 48 hours, and in August 27, 1963 admission. Diagnosed as term pregnancy (8 pregnant, 5), stillbirth, early rupture of membranes (?). Maternal past physical health, menstrual patterns, 15 (5-6) / (30 ~ +), the amount of small, no dysmenorrhea. Less leucorrhea on weekdays, odorless, had 8 pregnancies, 5 full-term births, 2 small births, denied sexual history, private prosecution before the hospital had quarrel with his neighbors, fighting, but the abdomen has not been subjected to direct violence. Generally good at admission. Shrink compact. Uterus no tenderness. Fetal position for the right pillow after the pillow.