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病历摘要患者女,25岁,经产妇。因临产宫缩2天入院。检查:血压160/90毫米汞柱,胎位正常,头先露,宫缩不规律,余均未见异常。次日上午检查胎位正常,胎心128次/分,宫口开3指,自觉乏力。第3天晨1时30分检查胎位正常,胎心规律,宫口开3指余,羊膜囊已鼓,宫缩不规律,血压160/90毫米汞柱。3时30分左右宫缩规律,腹部剧痛。4时左右,阵发性宫缩剧,疼痛加重,宫口开全。扶上产床后突然气促、紫绀、抽搐,此时始见羊水已破,呈墨绿色。即速给氧,肌注鲁米那。测血压170/85毫米汞柱。又缓慢静注25%硫酸镁10毫升。胎心80次/分。又静注10%葡萄糖,肌注尼可刹米后,反复听诊胎心消失,宫缩停止。即用胎儿吸引器,稍加腹压后出现一阵宫缩,约15分钟后胎儿娩出。胎儿颜面青紫,无心跳呼吸,抢救约半小时无效死亡。
Patient history Female, 25 years old, by maternal. Due to labor contractions 2 days admission. Check: blood pressure 160/90 mm Hg, normal fetal position, first dew, contractions are not regular, I have seen no abnormalities. The next morning to check the normal fetal position, fetal heart rate 128 times / min, cervix 3 fingers, consciously weak. On the third day morning 1:30 check the normal fetal position, fetal heart rate law, cervix open more than 3 fingers, amniotic sac has drum, uterine contractions irregular, blood pressure 160/90 mm Hg. 3:30 or so contractions of the law, abdominal pain. Around 4 o’clock, the paroxysmal palace shrinks, the pain aggravates, the cervix opens completely. After giving birth to bed sudden shortness of breath, cyanosis, convulsions, at this time see the amniotic fluid has been broken, dark green. That speed to oxygen, intramuscular injection Lumina. Measured blood pressure 170/85 mm Hg. Slow intravenous injection of 25% magnesium sulfate 10 ml. Fetal heart 80 times / min. And intravenous injection of 10% glucose, intramuscular injection of Nicorandil, repeated auscultation fetal heart disappear, contractions stop. That is, fetus aspirator, a slight increase in abdominal pressure after a contraction, about 15 minutes after the baby was delivered. Fetal bruising, no heartbeat, rescue died of about half an hour invalid.