论文部分内容阅读
病史介绍患者××,30岁,工人,二胎二产,第一胎于1978年4月因妊娠32~+周死胎(孕期检查无异常)作水囊引产,娩出时脐带绕颈一周。此胎于1979年3月24日孕13~3周初诊,预产期1979年9月27日,基础血压120/80毫米汞柱,到产科门诊和遗传门诊共6次.心脏听诊:Ⅰ级收缩期杂音。胸透:正常。因有死胎史,于1979年8月20日住院作宫内治疗即吸氧加50%葡萄糖40毫升加维生素丙500毫克静注1/日×10,疗程结束后出院。9月2日22:45因不规则宫缩,胎心不规则126次/分,急诊复入院。肛查宫口未开,先露头,高位-3,血压130/90毫米汞柱,治疗后胎心正常。9月6日至8日三天中,胎心率波动在136~152次/分之间,治疗后胎心率平稳,因孕37~+周,疑有胎儿窘
The history of patients × ×, 30-year-old, workers, second child second child, the first child in April 1978 due to pregnancy 32 ~ + weeks of fetal death (pregnancy check no abnormalities) for water abortion, the umbilical cord around the neck during delivery. The fetus was initially diagnosed on March 24, 1979 at 13 to 3 weeks, with a prepartion period of September 27, 1979, with a baseline blood pressure of 120/80 mm Hg, and 6 obstetrics and gynecology clinics. Cardiac auscultation: Grade Ⅰ systolic Noise. Chest throat: normal. Because of a history of stillbirth on August 20, 1979 for intrauterine treatment for oxygen therapy plus 50% glucose 40 ml plus vitamin C 500 mg intravenously 1 / day × 10, after treatment was discharged. At 22:45 on September 2 due to irregular contractions, irregular fetal heart rate 126 beats / min, emergency hospital admission. Anal check cervix is not open, the first outcrop, high -3, blood pressure 130/90 mm Hg, normal fetal heart rate after treatment. September 6 to 8 days in three days, fetal heart rate fluctuations in the 136 ~ 152 beats / min, after treatment, fetal heart rate was stable, due to pregnancy 37 ~ + weeks, suspected fetal distress