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患者24岁,孕2产0。因停经7月余,腹部膨隆明显伴腹胀2周,于1998年1月19日入院。查体:BP16/10kPa。心肺正常。腹围105cm,宫高35cm,胎方位不清,胎心音160次/min,心音遥远。B超示胎儿双顶径7.3cm胎盘功能Ⅰ级,最大羊水池深度11cm,胎盘位于子宫右侧前壁。入院诊断:孕30周并发羊水过多。入院后以B超所定位置为穿刺点,用7号腰穿针经腹羊膜腔穿刺,连接输液装置,以10ml/min的速度放羊水约1000ml。术毕顺便向羊膜,腔内注入地塞米松10mg。术后给予硫酸舒喘灵4.8mg口服每6h一次,连服3d。患者腹胀明显减轻。1998年2月11
The patient was 24 years old and had 2 pregnancies. Due to menopause in more than 7 months, the abdomen bulge obviously with bloating for 2 weeks, on January 19, 1998 admission. Physical examination: BP16 / 10kPa. Cardiopulmonary normal. Abdominal circumference 105cm, palace height 35cm, fetal position unclear, fetal heart sound 160 times / min, heart sounds far. B ultrasound shows fetal biparietal diameter 7.3cm placental function Ⅰ level, the maximum depth of amniotic fluid pool 11cm, the placenta is located in the right anterior wall of the uterus. Admission diagnosis: 30 weeks pregnant with polyhydramnios. Admission to the location of the B-puncture as a puncture point, with No. 7 lumbar puncture transabdominal amniocentesis, connected infusion device, amniotic fluid at a speed of 10ml / min about 1000ml. Incidentally to the amniotic membrane, intracavitary injection of dexamethasone 10mg. Postoperative given salbutamol sulfate 4.8mg orally every 6h, and even served 3d. Patients with abdominal distension significantly reduced. February 11, 1998