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患者,22岁,因停经40~(+3)周,阵发性腹痛13小时1986年9月7日急诊入院。末次月经85。11。27,预产期86。9。3。一直未作产前检查。13小时前出现规律腹痛,渐加剧,产妇难以忍受。在当前医院的发现心消失。既往月经正常。21岁结婚,入院前16个月开始尿少尿频尿痛,渐加重一直未诊治。检查:一般情况好,腹膨隆,宫底剑下二指,子宫呈圆球形态规则,无病理缩复环,头先露,已入盆,胎位不清,未闻及胎心。骨盆外测量24—26—17—8cm。阴道检查见先露于阴道左后
Patient, 22 years old, emergency room admission due to menopause 40 to (+3) weeks, paroxysmal abdominal pain for 13 hours, September 7, 1986. The last menstrual period 85.11.27, expected date of 86.9.3. Has not been for prenatal examination. 13 hours before the regular abdominal pain, gradually intensified, maternal unbearable. Found in the current hospital disappeared. Past menstrual normal. 21-year-old married, 16 months before admission urine oliguria frequent dysuria, gradually increased has not been diagnosed. Check: the general situation is good, abdominal bulging, the palace under the sword two fingers, the uterus was spherical shape rules, no pathological shrinking ring, the first first exposed, has been pots, fetal position is unclear, no smell and fetal heart. Outside the pelvis measure 24-26-17-8cm. Vaginal examination revealed before the left vagina