试述腹部4部触诊法目的及意义1（Objective and significance of 4 palpation of abdomen 1）.docVIP

试述腹部4部触诊法目的及意义1（Objective and significance of 4 palpation of abdomen 1） Objective and significance of 4 palpation of abdomen The first step: to understand the shape of the uterus and to measure the height of the fundus, to estimate whether the size of the fetus is consistent with the number of weeks of pregnancy. The part of the fetus at the bottom of the uterus. The second step: to understand the left and right sides of the uterus, to subdivide the fetal back and the limbs of the fetus. The third step: to know whether the first part is the head or the buttock and determine whether it is connected or not. The fourth step: to check the diagnosis of the fetal presentation, and to determine the extent of the delivery of the fetal presentation. What is threatened labor? What does it include? Threatened labor refers to the onset of childbirth before the onset of pregnancy, indicating that the pregnant woman will soon be in labor. Include： False labor: contraction duration is short and is not constant, intermittent time is irregular, uterine contraction intensity does not increase, often appear at night, disappear the next morning. Fetal descent: lower fetal presentation, access to pelvic inlet, lower fundus position. Red: separation membranes and the uterine wall near the mouth of the cervix, vaginal discharge capillary rupture of a small amount of blood, discharge and endocervical mucus plug mix, red is the upcoming delivery of reliable signs. Steps of segmental curettage: Segmental curettage is the most common and reliable method for the diagnosis of endometrial cancer. First, a small curette is used to scrape the cervical canal, and then the inner lining of the uterine cavity is scraped. If the scraping is a large amount of tofu residue, suspicious endometrial cancer, as long as the hang out enough to send a pathological examination, stop operation. What are the conditions for the treatment of tubal pregnancy with chemical drugs? Tubal pregnancy without abortion or ru