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病例患者,37岁。住院号94063。孕4产3。因闭经26周要求引产,于1990年3月2日入院。末次月经1989年8月26日。闭经后无早孕反应,4个月起觉胎动至今。因计划外怀孕要求终止妊娠。曾于1978年足月顺产一女活婴,1981年因“孕24周,前置胎盘”行剖宫产并绝育,1983年孕足月重复剖宫产并第二次绝育,女婴存活。查体:下腹正中长10cm陈旧疤痕,宫高24cm,腹围80cm,左枕前位,胎心良。诊断:孕26周,孕4产3,左枕前位。于1990年3月5日手术。术中见腹腔粘连,两侧输卵管均有二次结扎痕迹,行剖宫取胎及第三次绝育,并将双侧输卵管散端切除,术后痊愈出院。
Case patient, 37 years old. Hospital number 94063. Pregnant 4 3. As a result of amenorrhea 26 weeks of induction of labor, on March 2, 1990 admission. The last menstruation August 26, 1989. No early pregnancy after amenorrhea reaction, 4 months from fetal movement so far. Unplanned pregnancy requires termination of pregnancy. Was a full-term abortion in 1978, a female living in 1981 for “pregnant 24 weeks, placenta previa,” line cesarean section and sterilization, full pregnancy in 1983 repeated cesarean section and the second sterilization, the baby survived. Physical examination: the middle of the lower abdomen 10cm long old scars, Palace height 24cm, abdominal circumference 80cm, left anterior occipital, fetal heart good. Diagnosis: 26 weeks pregnant, 4 pregnant 3, left anterior occipital. March 5, 1990 surgery. See intraperitoneal adhesions in surgery, both sides of the tubal ligation have traces of secondary cesarean section fetus and the third sterilization, and the removal of both ends of the fallopian tube, postoperative cured.