《医学英语实用情景教程》（徐青） Unit 3 Gynecology and Obstetrics 妇产科

医学英语实用情景教程Unit3GynecologyandObstetrics妇产科知识目标掌握妇产科常见疾病的英文术语。掌握询问、描述妇产科常见疾病的相关英文表达。掌握妇产科英文病历的写法。技能目标能用英语与妇产科患者沟通。能读懂妇产科相关的英文病历。思政目标将人文精神与科学精神有机融合，塑造医者仁心的素养和德能兼修的能力。项目目标1．学习“知识储备”中的内容，掌握本单元的重点医学术语和常用表达。2．跟读“医患交流”下的英文对话，然后角色扮演各对话场景。3．仔细阅读“病历阅读”下妇产科相关的英文病历，总结其中重点句型及词汇。4．完成本单元的“任务检测”。5．根据以上任务的完成情况，给自己评分。任务描述目录123知识储备医患交流病历阅读章节导航01知识储备CommonDiseasesofGynecologyandObstetricsKeyWordsandExpressionsModelSentencesCommonDiseasesofGynecologyandObstetrics妇科疾病induced/artificialabortion /ɪn'djuːst//ˌɑːtɪ'fɪʃ(ə)lə'bɔːʃ(ə)n/ 人工流产irregularmenstruation /ɪ'regjʊləˌmenstrʊ'eɪʃ(ə)n/ 月经不调sexuallytransmitteddisease /'sekʃʊəlɪtrænz'mɪtɪddɪ'ziːz/ 性病infertility /ˌɪnfɜːˈtɪlətɪ/ 不孕不育myomaofuterus /maɪ'əʊməəv'juːtərəs/ 子宫肌瘤ovariancyst /əʊ'veərɪənsɪst/ 卵巢囊肿gynecologicalinflammation /ˌɡaɪnɪkə'lɒdʒɪkəlˌɪnflə'meɪʃ(ə)n/ 妇科炎症CommonDiseasesofGynecologyandObstetrics妇科疾病vulvitis /vʌl'vaɪtɪs/ 外阴炎pruritusvulvae /prʊ'raɪtəs'vʌlviː/ 外阴瘙痒trichomonalvaginitis /ˌtrɪkəʊ'mɔnəlˌvædʒɪ'naɪtɪs/ 滴虫阴道炎candidalvaginitis /kæn'daɪdlˌvædʒɪ'naɪtɪs/ 念珠菌阴道炎cervicitis /ˌsɜːvɪ'saɪtɪs/ 宫颈炎cervicalerosion /'sɜːvɪk(ə)lɪ'rəʊʒ(ə)n/ 宫颈糜烂CommonDiseasesofGynecologyandObstetrics妇科疾病cervicalpolyp /'sɜːvɪk(ə)l'pɒlɪp/ 宫颈息肉cervicalcancer /'sɜːvɪk(ə)l'kænsə/ 宫颈癌pelvicinflammatorydisease(PID)/'pelvɪkɪn'flæmət(ə)rɪdɪ'ziːz/ 盆腔炎humanpapillomavirus(HPV) /'hjuːmənˌpæpɪ'ləʊmə'vaɪrəs/ 人乳头瘤病毒syphilis /'sɪfɪlɪs/ 梅毒pelvictuberculosis /'pelvɪktjʊːˌbɜːkjʊ'ləʊsɪs/ 盆腔结核condylomaacuminata /ˌkɒndɪ'ləʊməəˈkjuːmɪˌneɪtə/ 尖锐湿疣

CommonDiseasesofGynecologyandObstetrics产科疾病ectopicpregnancy /ek'tɒpɪk'pregnənsɪ/ 异位妊娠tubalpregnancy /'tjuːbl'pregnənsɪ/ 输卵管妊娠abdominalpregnancy /æb'dɒmɪnl'pregnənsɪ/ 腹腔妊娠ovarianpregnancy /əʊ'veərɪən'pregnənsɪ/ 卵巢妊娠cervicalpregnancy /'sɜːvɪkl'pregnənsɪ/ 宫颈妊娠edema /ɪ'diːmə/ 水肿pregnancy-inducedhypertensionsyndrome(PIH) /'pregnənsɪɪn'djuːstˌhaɪpə'tenʃ(ə)n'sɪndrəʊm/ 妊娠高血压综合征preeclampsia /ˌpriːɪ'klæmpsɪə/ 先兆子痫CommonDiseasesofGynecologyandObstetrics产科疾病eclampsia /ɪ'klæmpsɪə/ 子痫placentapraevia /plə'sentəˌprɪˈvaɪə/ 前置胎盘placentalabruption /plə'sentlə'brʌpʃ(ə)n/ 胎盘早剥uteroplacentalapoplexy /ˌjʊtərɔple'sentl'æpəpleksɪ/ 子宫胎盘卒中revealedabruption /rɪ'vɪldə'brʌpʃ(ə)n/ 显性剥落concealedabruption /kən'siːldə'brʌpʃ(ə)n/ 隐性剥落mixedhemorrhage /mɪkst'hemərɪdʒ/ 混合性出血peripartumcardiomyopathy /ˌperɪ'pɑːtəmˌkɑːdɪəʊmaɪ'ɒpəθɪ/ 围产期心肌病CommonDiseasesofGynecologyandObstetrics产科疾病intrahepaticcholestasisofpregnancy/ˌɪntrəhɪ'pætɪkˌkəʊlɪ'steɪsɪsəv'pregnənsɪ/ 妊娠肝内胆汁淤积症acutefattyliverofpregnancy /ə'kjuːt'fætɪ'lɪvəəv'pregnənsɪ/ 妊娠急性脂肪肝gestationaldiabetesmellitus(GDM)/dʒe'steɪʃənəlˌdaɪə'biːtiːz'melɪtəs/ 妊娠期糖尿病pneumoniacomplicatingpregnancy/njuː'məʊnɪə'kɒmplɪkeɪtɪŋ'pregnənsɪ/ 妊娠期并发肺炎dystocia /dɪs'təʊʃɪə/ 难产shoulderdystocia /'ʃəʊldədɪs'təʊʃɪə/ 肩难产postpartumhemorrhage(PPH) /pəʊst'pɑːtəm'hemərɪdʒ/ 产后出血CommonDiseasesofGynecologyandObstetrics产科疾病traumaofgenitaltract /'trɔːməəv'dʒenɪt(ə)ltrækt/ 生殖道创伤ruptureofuterus /'rʌptʃəəv'juːt(ə)rəs/ 子宫破裂posttermpregnancy /'pəʊsttɜːm'pregnənsɪ/ 过期妊娠fetaldistress /'fiːt(ə)ldɪ'stres/ 胎儿窘迫puerperalinfection /pjʊ'ɜːpərəlɪn'fekʃ(ə)n/ 产褥感染latepostpartumhemorrhage /leɪt'pəʊst'pɑːtəm'hemərɪdʒ/ 晚期产后出血uterineprolapse /'juːtərɪn'prəʊlæps/ 子宫脱垂KeyWordsandExpressionsfibrous /ˈfaɪbrəs/ adj. 纤维构成的；纤维状的womb /wuːm/ n. 子宫bleeding /'bliːdɪŋ/ n. 流血；失血abdomen /ˈæbdəmən/ n. 腹（部）menstruation /ˌmenstrʊˈeɪʃn/ n. 月经positive /'pɒzətɪv/ adj. 阳性的threateningmiscarriage /'θretnɪŋmɪs'kærɪdʒ/ 先兆流产KeyWordsandExpressionsbloodpressure /blʌd'preʃə/ 血压tenderness /'tendənɪs/ n. 压痛nauseous /ˈnɔːzɪəs/ adj. 恶心的；想呕吐的vomit /'vɒmɪt/ v. 呕；吐；呕吐nausea /ˈnɔːzɪə/ n. 恶心；作呕；反胃dizziness /ˈdɪzɪnəs/ n. 头晕；头昏眼花blurredvision /blɜːdˈvɪʒn/ 视力模糊KeyWordsandExpressionsurinealbumin /ˈjʊərɪnæl'bjuːmɪn/ 尿蛋白toxemiaofpregnancy /tɒk'siːmɪəəfˈpregnənsɪ/ 妊娠毒血症delivery /dɪ'lɪvərɪ/ n. 分娩；递送profusely /prəˈfjuːslɪ/ adv. 大量地contraction /kən'trækʃ(ə)n/ n. 收缩，紧缩；缩写式laborpain /'leɪbə(r)peɪn/ 产痛interval /'ɪntəv(ə)l/ n. 间隔；间距；幕间休息ModelSentences1.You’vegotsomelumpsoffibroustissueonthewombwhicharecausingthebleeding.你子宫上出现的纤维组织肿块引起了出血。2.Couldn’tthelumpsbereducedbymedicine?这些肿块不能通过药物消散吗？3.Anoperationistheonlywaytosolvethisproblem.解决这个问题的唯一办法就是手术。4.Whatwastheamountofyourbleeding?Whendidyoulasthaveaperiod?出血量多吗？上次月经是什么时候？ModelSentences5.Isyourmenstruationregular?你的月经规律吗？6.Thepregnancytestwaspositive.妊娠检查呈阳性。8.Ihavebreasttendernessandapoorappetite.乳房发胀而且胃口不好。9.Youshouldbeadmittedtohospitalassoonaspossible.你需要尽快住院。7.Thepainislocatedinthecentralpartofthelowerabdomen.Itcametogetherwithvaginalbleeding.在下腹正中，痛的时候还伴有阴道出血。ModelSentences10.Doyoufeelcontractionsregularly?你感觉到有规律的宫缩了吗？11.Howlongistheintervalbetweencontractions?宫缩间隙是多少？13.Ihavehadbleeding,waterydischargeandpaininmylowerabdomen.我有阴道出血、水性分泌物，以及下腹部疼痛的症状。14.Pleasedon’teatanythinguntilthetestisover.Youhavetohaveanabsoluteemptystomach.检查结束前不要吃任何东西。你得完全空腹。12.Haveyouhadanypaininthatareaduringyourmenstruation?你来月经时是这一部位疼吗？ModelSentences15.OK,I’mnowgoingtoexamineyourvagina,canyouputyourfeetintothesestirrupsforme?Andtrytorelax.Iknowit’suncomfortable.I’mgoingtoputaspeculumintoyourvagina.Itmightbecold.Pleasetellmeifithurts.好的，我现在要检查你的阴道，你能把你的脚放到脚镫上吗？我知道很不舒服，不过还是请你尽量放松。我要伸一个诊视镜到你的阴道里，你会感觉有点凉。如果感到痛，请告诉我。16.Pleasesitonthatchair,I’lllistentoyourbaby’sheartbeat.请你坐在那张椅子上，我要听一下胎心。17.We’llsendhertothedeliveryroomforfurtherobservation.我们将把她送到产房进一步观察。ModelSentences18.YourB-modeultrasoundresultshowsthatitistubalpregnancy,soanoperationshouldbedoneassoonaspossible.B超结果显示是输卵管妊娠，所以我们要尽快动手术。19.Gestationaldiabetesmellituswillhavegreatharmonyouandyourbaby,itisnecessarytohaveabloodexamination.妊娠期糖尿病对你和小孩都有很大危害，做一下血液检查很必要。课堂小结这小结我们学习了妇产科医学中的常见病、关键词和表达式和模型句子。希望大家能加深对英语词汇的理解并灵活应用。02医患交流Conversation1BleedingoftheWomb子宫出血Conversation2ThreatenedAbortion/ThreateningMiscarriage先兆流产Conversation3Pregnancy怀孕Conversation4AntenatalExamination产前检查Conversation5Delivery分娩Conversation1BleedingoftheWomb子宫出血P:What’swrongwithme,doctor?D:Well,MsWhite,you’vegotsomelumpsoffibroustissueonthewombwhicharecausingthebleeding.P:Couldn’tthelumpsbereducedbymedicine?D:Sorry,Idon’tthinkso.Anoperationistheonlywaytosolvethisproblem.P:Oh,it’stooterrible!It’snotcancer,isit?D:No,it’snotcancer,butIthinkyouwillfeelmorecomfortablewithoutthebleeding.P:ButI’mfrightenedofhospitals.D:Don’tworryaboutthis.You’llonlybeinthehospitalfor8daysorsoandoncetheoperationisover,you’llfeelmuchbetter.患者：医生，我怎么了？医生：怀特女士，你子宫上出现的纤维组织肿块引起了出血。患者：这些肿块不能通过药物消散吗？医生：对不起，不能。解决这个问题的唯一办法就是手术。患者：噢，太可怕了！这不是癌症，对吧？医生：对，不是癌症。但是我认为如果没有出血，你会感觉更舒服一些。患者：但是我很害怕住院。医生：别担心，你只需住院8天左右。而且一旦手术结束，你会舒服很多。Conversation2ThreatenedAbortion/ThreateningMiscarriage先兆流产P:Ihavehadvaginalbleedingforthelasttwodays,togetherwithsomepaininthelowerabdomen.D:Whatwastheamountofyourbleeding?Whendidyoulasthaveaperiod?P:Nottoomuch,andIhavemissedtwoperiods.ThelastonewasonMay3.D:Isyourmenstruationregular?P:It’snormalnow,butitusedtobesomewhatlatebeforeIwasmarried.D:Haveyougottensomeurineforapregnancytest?P:Yes.Hereisthereport.D:Thepregnancytestwaspositive.Whereisthepainlocatedandwhatisitlike?患者：我这两天阴道出血，并伴有下腹疼痛。医生：出血量多吗？上次月经是什么时候？患者：不多，而且我已经两个月没有来月经了。上次月经是5月3日。医生：你的月经规律吗？患者：结婚前月经经常推迟，现在准时了。医生：做尿样妊娠检查了吗？患者：做了，这是检查报告。医生：妊娠检查呈阳性。你是什么地方疼，怎么个疼法？Conversation2ThreatenedAbortion/ThreateningMiscarriage先兆流产P:Thepainislocatedinthecentralpartofthelowerabdomen.Itcametogetherwithvaginalbleeding.D:Itseemsthatyouarepregnant,withathreatenedmiscarriage.Youshouldstayinbedexceptforeatingorgoingtothetoilet.P:ShallItakesomemedicine?D:I’llgiveyousomeoralmedicine.P:OK,I’lldoasyousaid.D:Comebackinaweekforacheck-up.Inaddition,gototheemergencyclinicimmediatelywheneverthebleedingbecomessevererthanusual.患者：在下腹正中，痛的时候还伴有阴道出血。医生：看来你怀孕了，是先兆流产。除了吃饭和上厕所，你应该卧床休息。

患者：我需要吃些药吗？医生：我会给你开一些口服药。患者：好的，我会照你说的做。医生：一周后再来检查。还有，如果出血比平时多，你需要立即到急诊室就诊。Conversation3Pregnancy怀孕P:IthinkI’mpregnant.Wouldyougivemeanexamination?D:Takeoffyourshoes.I’llmeasureyourweightandyourbloodpressure.P:OK.Ijustwanttomakesureeverythingisallright.D:Whenwasyourlastperiod?P:Itwason13thApr.,2019.D:Areyourmenstrualcyclesregular?P:Yes,theyare.D:Well,anydiscomfort?患者：我想我怀孕了。能不能帮我检查一下？医生：脱掉鞋。我帮你称下体重，量量血压。患者：好的。我想确认一切是否正常。医生：你末次月经是什么时候？患者：2019年4月13日。医生：月经正常吗？患者：正常。医生：好的，有什么不舒服的吗？Conversation3Pregnancy怀孕P:Ihavebreasttendernessandapoorappetite.Ifeelnauseousinthemorning,butIdon’tfeellikevomiting.D:Nowweneedsomeurineforatest.P:OK.(aftertheexamination)D:Theurinepregnancytestturnedouttobepositive.Youarepregnant.Congratulations!Pleasetakegoodcareofyourself.P:Thankyou!患者：乳房发胀而且胃口不好。早晨恶心可又不想吐。医生：现在需要做个尿检。患者：好的。（检查完后）医生：尿检结果是阳性。恭喜！你怀孕了。请多保重。患者：谢谢！Conversation4AntenatalExamination产前检查P:Doctor,IthinkIhaveaproblemwithmyfeet.Theyareswollen,andmyfingers,too.D:Doyouhaveanynausea,dizziness,vomiting,headacheorblurredvision?P:Onlysomeheadaches.D:Well,yourbloodpressureis170/95mmHg…Andyoureyelids,alittleswollen.P:Yes.D:Yourroutineurineexamshowsthattheurinealbuminispositivewith2plus.Youshouldremovesaltyfoodfromyourdiet.Youhavehighbloodpressure,edemaandalbumininyoururine.Thisiscalledtoxemiaofpregnancy.Youshouldbeadmittedtothehospitalassoonaspossible.P:That’stoobad.ButIneedtoprepareandbeadmittedtomorrow.患者：大夫，我的脚有点肿，手指头也肿了。医生：你有恶心、头晕、呕吐、头疼或视力模糊的问题吗？患者：就是有点儿头疼。医生：好，你高压170，低压95。眼皮有点水肿。患者：是的。医生：你的尿常规显示尿蛋白两个加号，饮食应避免高盐食物。你有高血压、水肿和尿蛋白，这是妊娠中毒症，你需要尽快住院。患者：太糟糕了。但我得先准备一下，明天再入院吧。Conversation5Delivery分娩P:Doctor,Ibegantobleedprofuselythismorning.I’mafraidsomethingterriblewillhappen.D:Doyoufeelcontractionsregularly?P:Yes,Ifeelterriblecontractionsandpaininmylowerabdomen.D:Yourwaterhasbrokenandyoumustbeadmittedintohospitalatonce.P:Oh!It’ssopainful!D:It’sthelaborpainandit’snormal.Howlongistheintervalbetweencontractions?患者：医生，今天早晨我开始大出血，感觉情况不太好。医生：你感觉到有规律的宫缩了吗？患者：感觉到了，小肚子也疼得厉害。医生：你已经破水了，必须马上住院。患者：哦！疼死了！医生：这是产痛，正常现象。宫缩间隙是多少？Conversation5Delivery分娩P:About2—3minutes.D:Don’tbenervous.Takeoffyourpantsandlieontheoperatingtable.P:OK.Ifeelmybabyistryingtogetout.D:Now,pleasetakeadeepbreath.Holdyourbreath.Breatheout...Breatherapidlyasifyouwerepanting.Oh,yougivebirthtoababygirl.Congratulations.患者：大约两三分钟。医生：不要紧张，脱掉裤子躺到手术台上。患者：好的，我感觉我的宝宝要出来了。医生：好，请深呼吸，吸气，呼气……用力！好，给你道喜，你生了女孩儿。课堂小结这小结我们学习了如何用英语进行医患交流。希望大家课下多加复习，加深对英语的灵活应用。03病历阅读OutpatientMedicalRecords—PregnancyAdmissionMedicalRecords—PreeclampsiaOperationRecords—CesareanSectionUltrasonicExaminationReports—IntrauterinePregnancyChiefComplaint:Menelipsisfor4months.HistoryofPresentIllness:Thepatienthadfrequentbleedinggums,withoutcold,fever,abdominalpainandvaginalbleeding.PastMedicalHistory:Thepatientwashealthypreviouslybutwaspronetohavepeliomaafterbumping.Thepatienthadnodrugallergyhistory.PhysicalExamination:Theweightwas61kg.Bloodpressurewas118/78mmHg.Heartratewas90bpm.Fetalheartratewas158bpm.AuxiliaryExamination:1.Routinebloodexamination:Whitebloodcell(WBC)7.2×109/L;platelet(PLT)48×109/L;lymphocytepercentage(LYMPH)16.9%.2.Bloodtype:TypeOOutpatientMedicalRecords—PregnancyPrimaryDiagnosis:1.Middlepregnancy2.ThrombocytopenicpurpuraTreatment:1.Antibodytitershallbedetectedaftercheckingofherhusband’sbloodtype.2.Haveregulardietsandtakefreshvegetables.3.Takeregularantenatalcare.Visitthedoctoratanytimeincaseofanydiscomfort.Doctor’sSignature:Yang××OutpatientMedicalRecords—Pregnancy门诊病历—怀孕主诉：停经4个月。现病史：牙龈经常出血。无感冒、发热。无腹痛及阴道流血。既往史：既往体健，但身体碰伤后容易出现青紫斑块。无药物过敏史。体格检查：体重61kg，血压118/78mmHg，心跳90次/分，胎心158次/分。辅助检查：1．血常规：白细胞（WBC）7.2×109/L，血小板（PLT）48×109/L，淋巴细胞百分比（LYMPH）16.9%。OutpatientMedicalRecords—Pregnancy门诊病历—怀孕2．血型：O型初步诊断：1．中孕。2．血小板减少性紫癜。处理：1．查丈夫血型后检查抗体滴度。2．饮食规律，补充新鲜蔬菜。3．定期产检，不适随诊。医师签名：杨××OutpatientMedicalRecords—PregnancyName:Liu×× Gender:FemaleAge:38yearsold Race:HanOccupation:Other MaritalStatus:MarriedNationality:China NativePlace:××PresentAddress:×××× RepresentorofMedicalHistory:PatientDateofAdmission:13thDec.,2018 Dateofrecord:11:36,13thDec.,2018MedicalHistoryofGynaecologyandObstetrics:Thepatientwasin30-weekand5-daypregnancy,G2P0.ThelastmenstrualperiodwasMay10,2018andexpecteddateofconfinementwasFebruary17,2019.ChiefComplaint:G2P0,30-weekand5-dayuterinepregnancy.Thepatienthadhypertensionfor3monthsandanasarcafor2weeks.HistoryofPresentIllness:Thepatient’smenstruationwasregularpreviously.AdmissionMedicalRecords—PreeclampsiaThelastmenstrualperiodwasMay10,2018andexpecteddateofconfinementwasFebruary17,2019.40daysaftermenostasis,resultofurineHCGtestwaspositive.Fetalmovementwasfeltin4-monthpregnancy.In12-weekand2-daypregnancy,thepatientcompletedthefirstantenatalexaminationin××MaternalandChildCareCenterandthebloodpressurewas160/90mmHg.Nosymptomwasfoundatthattimeandnotreatmentwasperformed.Halfamonthago,thepatienthadedemaofbothlowerlimbsandtheedemagraduallyspreadtothewholebody.ThepatientvisitedourhospitalforantenatalexaminationinDecember5,andbloodpressurewas200/160mmHg.Striptestshowedurineprotein(++).Thepatienthadoccasionalheadache,withoutpainofupperabdomen,visiondisorder,oliguria,nausea,vomitingandchestpain.ThepatientwasadmittedintothehospitalonDecember6,2018.Afteradmission,thepatientwasconsciouswithgoodappetiteandsleepandnormaldefecation.……详见课本第56页AdmissionMedicalRecords—Preeclampsia入院病历—先兆子痫姓名：刘×× 性别：女年龄：38岁 民族：汉职业：其他 婚姻状况：已婚国籍：中国 籍贯：××现住址：×××× 病史陈述者：本人入院日期：2018-12-13 病历记录时间：2018-12-13，11:36妇产科病史：怀孕30+5周，孕2产0，末次月经2018-5-10，预产期2019-2-17。主诉：孕2产0，宫内妊娠30+5周。患者高血压3个月，全身水肿2周。现病史：患者既往月经规律。末次月经2018-5-10，预产期2019-2-17。闭经40天后尿HCG试验呈阳性。妊娠4个月可感觉到胎儿活动。妊娠12+2周，患者在××妇幼保健院完成首次产前检查，血压160/90mmHg。当时无任何症状，未接受任何治疗。……详见课本第59页OutpatientMedicalRecords—PregnancyName:Li××DateofOperation:18thMar.,2019StartingTime:15:41FinishingTime:16:20PreoperativeDiagnosis:G1P0,39+5Wpregnancy;pre-delivery;LOAIntraoperativeDiagnosis:G1P1,39+5Wpregnancy;delivered;LOANameofOperation:LowersegmentcesareansectionSurgeon:Guo×× Assistant:Zhang×× Nurse:Li××AnesthesiaMethod:Lumbaranesthesia

Anesthetist:Hu××ProcedureofOperation:With(anesthetist’s)permission,thepatiententeredoperatingroomtoreceivelumbaranesthesia.Thepatienttooklefttiltedsupineposition.Abdominalpreparationandsteriledrapingwereperformed.OperationRecords—CesareanSectionPfannenstielincision(transversesemilunarincisiononabdomenabovepubis)wasperformedwithscalpel,penetratingthroughfascialayer.TheincisionwasextendedtowardsbothsidesbyMayoscissor.FasciaincisionwasclampedandliftedbyKocherpincersforverticalbluntdissectionofstraightmuscleofabdomen.StraightmuscleofabdomenwasseparatedfromthemiddleandperitoneumautomaticallybulgedandwascutopenbyMetzenbaumscissor.Whenbladderwasseenclearly,theperitonealincisionwasextendedvertically.Bladderpressureplatewasindwelt.BladderanduterusperitoneumwasconfirmedandliftedandcutopenbyMetzenbaumscissor.Theincisionwasextendedtothelateralsides,andbladderwaspressedbackbypressureplate.Theloweruterinesegmentwastransverselycutopenbyscalpel,andtheincisionwasextendedtobothsidesbybandagescissor.Thebladderwasremovedandfetalheadwasautomaticallydelivered.Aftercleaningofmouthandnose,umbilicalcordwascutoffbyforcepsclip,andthefetuswashandedovertothepediatrician.OperationRecords—CesareanSectionTheplacentawastakenoutmanually.Theuteruswasdisposedandallthebloodclotsandfragments(ofafter-birth)wereeliminated.1-Ochromewirewasusedforcontinuouslocksutureofuterineincision.Thesecondlayerofsuturewith1-Ochromewirewasperformedtoensureeffectofhemostasis.3-0Vickywasusedforcontinuousrepairofbladder(flap).Aftercleaningofbloodclotsinfossa,theuteruswasputintoabdominalcavity.3-0Vickywasusedtosutureperitoneum.No.0Vickywasusedforcontinuoussutureoffasciaforrestoration.Stapleswereusedfor(sutureof)skin.Duringoperation,thepatient’sconditionwasstable.Numbersofneedleandgauzewerecountedtwiceandcorrect.2gcefoperazonewasadministeredduringclipofumbilicalcord,andsterilizeddressingontheincisionwasremoved.EstimatedHemorrhageVolume:800cc,withoutrecycle(normalhemorrhagevolumewas500-1,000cc).OperationRecords—CesareanSectionSpecimen:Placenta,umbilicalcordbloodpH,umbilicalcordbloodspecimenDrainage:NaturaldrainagebyFoleytubeLiquid:Intakevolumewas2,000ccandoutputvolumewas300cc;clearurineComplication:NoTreatment:Understablecondition,thepatientwasmovedtorecoveryroomandtransferredtopostpartumward.

Surgeon’sSignature:Guo××SignaturebySuperiorDoctor:Zhang××OperationRecords—CesareanSection手术记录—剖宫产姓名：李××手术日期：2019年3月18日开始时间：15:41结束时间：16:20术前诊断：G1P0孕39+5W待产LOA术中诊断：G1P1孕39+5W已产LOA手术名称：子宫下段剖宫产术手术医师：郭×× 助手：张×× 护士：李××麻醉方式：腰麻 麻醉医师：胡××手术经过：OperationRecords—CesareanSection手术记录—剖宫产得到（麻醉师）确认许可后，患者进入手术室，应用腰麻。患者采用仰卧左倾斜位，腹部准备，无菌覆盖。用手术刀行凡能斯提尔切口（耻骨上腹部横行半月状切口），穿过筋膜层。用Mayo剪刀向两侧延长切口。Kocher钳夹持筋膜切口，提起，上下钝性分离腹直肌。从中间分开腹直肌，腹膜自动膨出，用Metzenbaum剪刀剪开。在看清膀胱的基础上，上下延长腹膜切口。置入膀胱压板，确认膀胱子宫腹膜，向上提起，用Metzenbaum剪刀剪开。再向侧方延长切口，膀胱压板压回膀胱。用手术刀横行切开子宫下段，用bandage剪刀向两侧延长切口。膀胱被移走，胎儿头自动娩出。吸净口鼻后，钳夹切断脐带。胎儿递给儿科医生。人工取出胎盘，外置子宫，清除所有的血块与（胎盘胎膜）碎片。1-O铬制线连续锁边缝合子宫切口。第二层1-O铬制线缝合以确保良好的止血效果。3-0维乔线连续修补膀胱（皮瓣）。陷凹血块清除干净后，子宫置入腹腔。3-0维乔线关闭腹膜。0号维乔线连续缝合筋膜复原。staples关闭（缝合）皮肤。OperationRecords—CesareanSection手术记录—剖宫产术中患者平稳。针和纱布清点两次，无误。钳夹脐带时给予2克头孢哌酮，切口上方移走无菌敷料。估计失血：800cc；没有回收（正常失血量为500～1000cc）标本：胎盘，脐血pH，脐血标本引流：Foley管自然引流液体：入量2000cc；出量300cc清亮尿液并发症：无处置：在稳定的状态下，患者移入苏醒室，然后转入产后病房。手术医师签名：郭××上级医师签名：张××OperationRecords—CesareanSectionUltrasonicExaminationReportName:Li×× Gender:Female Age:36yearsoldDepartment:Clinicofgynecologyandobstetrics ClinicNo.:××ExaminationEquipment:ColorDopplerultrasonographUltrasonicFindings:Retropositionofuteruswasfound.Thesectionwasenlarged.Themorphologywasregularandoutlinewasclear.Theparenchymaechoesweremoderate.Imageofaround9×7×12mmgestationalsacwasseeninuterinecavity,withvitellinesacinside.Noevidentembryoandimageofprimitivefetalheartbeatwasfound.Thedistancefromgestationalsactotheincisionoflowersegmentofa