Crombach G, Göhring U J, Günther W, Hamm W, Schmelzer M, Kribs A, Bolte A
Kliniken und Polikliniken für Frauenheilkunde und Geburtshilfe.
Geburtshilfe Frauenheilkd. 1993 Apr;53(4):270-2. doi: 10.1055/s-2007-1023678.
A 24-year-old woman with a twin pregnancy had a premature rupture of membranes (PROM) of the first foetus in the 16th gestational week (gw). After 9 days the umbilical cord prolapsed. In the 17th gw the foetus was extracted by vaginal hysterotomy, because of an inferior anterior wall placenta. The patient remained hospitalised receiving tocolysis, lung maturation induction and prophylactic antibiosis. The pregnancy could be prolonged for 109 days after PROM and 99 days after the extraction of the first twin. The second child was born in the 31st gw by Caesarean section, following uncontrollable labour.
一名怀有双胎的24岁女性在妊娠第16周时出现第一个胎儿胎膜早破（PROM）。9天后脐带脱垂。由于胎盘位于前壁下段，在妊娠第17周时经阴道子宫切开术娩出胎儿。患者住院接受了宫缩抑制、促肺成熟及预防性抗生素治疗。胎膜早破后妊娠得以延长109天，第一个双胎儿娩出后延长了99天。在出现无法控制的宫缩后，第二个胎儿于妊娠第31周通过剖宫产出生。
