好好背书,天天向上@O7,阿默©1妇产科全英文名词解释和简答(含中文注释)鸣谢美丽的美丽的和美丽的:O7和阿默名词解释妊娠生理Braxtonhicks收缩thepregnantuterusproducespainlesspalpablecontractionsatirregularintervalsfromanearlystageingestation,thesebraxtonhickscontractions,however,arenotpositivesighsofpregnancy,sincesimilarcontractionsaresometimesnotedincasesofhematometra(宫腔积血)andoccasionallywithsoftmyomas,especiallythepedunculatedsubmucousvariety妊娠诊断Fetallie胎产式thetermliereferstotherelationshipbetweenthelongaxis(长轴)ofthemotherandthelongaxisofthefetus(胎儿)Fetalpresentation胎先露thepresentingpartistheportionofthefetusthatdescendfirstthroughthebirthcanal(产道)Fetalposition胎方位theexactfetalpositionisdeterminedbytherelationshipofsomedefinitepartofthefetus(theguidingpoint)toafixedareaofthematernalpelvis(母体骨盆)Fetalattitude胎势attitudereferstotherelationshipofthepartsofthefetustoeachotherHegar’ssign黑格氏征onbimanualexamination(双合诊)theisthmusuteri(子宫峡部)feelsexceedinglydoughy(柔软的)atabout6-8weekafterthelastperiod好好背书,天天向上@O7,阿默©2异常妊娠Abortion流产abortionistheterminationofapregnancybeforetheendofthe28weekwhenthefetusweightlesserthan1000gThreatenedlabor先兆流产Before28weeksofgestationshowedasmallamountofvaginalbleeding,followedbyparoxysmal(阵发性)abdominalpain,withoutruptureoffetalmembranes(胎膜)anddilationofcervix,thesizeoftheuterusisconsistentwithpregnantweeksMissedabortion稽留流产whentheembryon(胚胎)diesanditisretainedinuterusHabitualabortion习惯性流产/recurrentabortion(复发性流产)thisisdefinedas3ormoreconsecutiveabortionwiththesamesexualpartnerEctopicpregnancy异位妊娠implantationofthefertilizedovum(受精卵)inasiteoutsidetheuterinecavity妊娠合并内科疾病HELLPsyndromeHELLP综合征hemolysis(溶血),elevatedliverenzymes(肝酶),andlowplatelets(血小板)syndrome胎盘与胎膜异常Placentaprevia前置胎盘theentireplacentaorpartofitisimplantedinthelowerportionoftheuterusratherthanintheupperactivesegment,andlocatedlowerthanthepresentingpartofthefetusafter28week好好背书,天天向上@O7,阿默©3Placentaabruption胎盘早剥partialorcompletedetachmentoftheplacentafromasiteofnormalimplantationintheuterinewallbeforedeliveryofthefetusandmayoccuratanytimeafter20week’sgestationUteroplacentalapoplexy(couvelaireuterus)子宫胎盘卒中hemorrhageinfiltrates(浸润)theuterinewall.Makingitappearspurlishecchymosis,(青紫瘀斑)musclebundlesdisruptedanddegenerated,thenuteruslossitscontractilepower,(收缩力)resultinginpostpartumhemorrhege产前检查与孕期保健OCTorCST(orytocinchellengetest,orcontractionstresstest)缩宫素激惹试验measuringtheFHRresponsetothestressofspontaneousoroxytocin(催产素)inducedcontraction(UC)formstobasisofthistestoffetalplacentalreserveOCTpositive:recurrent(atleasttwo)latedecelerationoftheFHR,i.e,slowingintheheartratedevelopsataboutthemiddleofthecontractionandreturningtothebaselineafterthecontractionsubsides,inaddition,theamplitude(振幅)andthedurationofthedecelerationmustparalleltheamplitudeanddurationoftheunderlyingNegative:atleast3contractionsin10minutes,andeachlastingatleast40seconds,theFHRareobservedwithoutlatedeceleration,anegativetestwithinaweakofdeliveryprovidedreliableassurancethatthefetuswillsurviveandprobablytoleratelaboranddeliverywellNST(nor-stresstest)无应激试验NSTisatestforobservingandrecordingreserveoffetuswithoutanyexternalstimulationanduterinecontraction(子宫收缩)DividedintoreactiveNST,dubiousNST,non-reactiveNSTReactive:theFadmusthaveasmooth,regularconfigurationandtheremustbe3ormoreFADsper20minuteswithadurationofgreaterthan15secondsandmorethan好好背书,天天向上@O7,阿默©415bpmamplitudeNon-reactive:thisclassificationincludesnofetalactivityeitherspontaneouslyoneouslyorwithstimulation,andnodemonsthableFHRchangeinresponsetostimulation正常分娩Mechanismofnormallabor分娩机制themechanismoflaborisatermappliedtotheseriesofchangesintheattitudeandpositionofthefetusthatpermitsittoprogressthroughtheirregularshapedpelviccavityEngagement衔接themechanismbywhichthebiparietaldiameter(双顶径),thegreatesttransversediameteoftheheadinvertexpresentation(顶先露),passesthroughthepelvicinletisdesignatedengagement,aphenomenonthatusuallyoccursinprimigravidaswithnormalpelves(骨盆)duringthelastfewweeksofpregnancybutdoesnotordinarilytakeplaceinmultiparasuntilafterthecommencementoflaborInternalrotation内旋转thismovementisaturningoftheheadinsuchamannerthattheocciput(枕骨)movesanteriorlyaroundtheThelongitudinalaxisofthepelvis(骨盆纵轴)makingtheinterparietalsuture(矢状缝)consistentwiththeanteroposteriordiameterofthepelvisandpelvisoutlet(骨盆以及骨盆出口的前后径)Onsetanddiagnosisoflabor临产诊断thecontractionsoflaboroccurregularlyandusuallyincreaseuntiltheyrecurevery5to6minutesandlastfrom30to40seconds,whichcauseprogressiveeffacement(消失)anddilatationofthecervix,anddescentofthepresentingpart(胎先露部)Physiologicretractionring生理性缩复环asaresultofthethiningofthelower好好背书,天天向上@O7,阿默©5uterinesegmentandthethickingoftheupper.Theboundarybetweenthemismarkedbyaridge(隆起)ontheinneruterinesurface,theridgeiscalledthephysiologicretractionringSignsofseparationofplacenta胎盘剥离征象1.therisingupoftheuterusasasmallfirmlycontractedmass,toalevelabovetheumbilicus(脐)2.Lengtheningofthecord(脐带)3.Asmallamountofvaginalbleeding4.tractionupwardsofthefundus(宫底)failstodrawthecordupwithitRetainedplacenta胎盘滞留theplacentawhichretainedintheuterinecavityformorethan30minutesiscalledre