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患者21岁,末次月经1990年3月5日。预产期1990年12月12日。停经4个月与6个月时分别在乡卫生院产检,无异常。孕5月时因牙病服消炎片6片。无阴道流水、流血及外伤史。1990年10月14日因阵发性腹痛5小时入院。查体:一般情况好,血压16/9kPa,宫底高度27cm,腹围83cm,头先露。胎心142次/分,有规则宫缩。肛查:宫口开4cm,水囊胀,先露平棘,软,未触及颅顶骨,检查后羊膜自然破裂,流出大量羊水约3000ml。一小时后宫口开全。胎儿、胎盘同时娩出,为一活女婴,Apgar评分5分,体重
Patient 21 years old, last menstrual period March 5, 1990. The expected date of birth is December 12, 1990. Menopause 4 months and 6 months, respectively, at the township hospital for medical examination, no abnormalities. Pregnancy in May due to dental wear anti-inflammatory tablets 6. No vaginal flow, bleeding and trauma history. October 14, 1990 due to paroxysmal abdominal pain 5 hours admission. Physical examination: the general situation is good, blood pressure 16 / 9kPa, Palace heights 27cm, abdominal circumference 83cm, first dew. Fetal heart 142 times / min, the rules of contractions. Anal examination: cervix open 4cm, water sac inflation, first exposed spines, soft, did not touch the parietal bone, check the amniotic membrane rupture naturally, out of a large amount of amniotic fluid about 3000ml. Miyaguchi open one hour later. Fetal, placenta and delivery at the same time, a live baby girl, Apgar score 5 points, weight