患者,36岁,G4P2孕40周,下腹部阵发性疼痛12小时于2010年12月18日早9点半,因①G4P2,孕40周,臀位;②瘢痕子宫收住入院,末次月经2009年3月10日,预产期为2010年12月17日,孕8月时曾因骑马突然腹痛难忍,似撕割详,持续3小时,在家自服藏药而止痛,药名不详,无阴道流血,自感有胎动,追问病史于2004年因第一胎孕足月横位,在外 Patients, 36 years old, G4P2 pregnant 40 weeks, lower abdominal paroxysmal pain for 12 hours on December 18, 2010 as early as 9:30, due to ① G4P2, 40 weeks of pregnancy, breech; ② scar uterus admitted to hospital, the last menstrual period 2009 March 10, 2010, the expected date of December 17, 2010, pregnant and August when a sudden abdominal pain due to riding, like tear cut detail, for 3 hours at home since taking Tibetan medicine and pain, the drug name is unknown, no vaginal Bleeding, self-induced fetal movement, history asked in 2004 due to the first full-term fetal pregnancy transverse, outside