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患者,21岁。孕_1产_0。因宫内孕37周不规则下腹胀痛与检查发现盆腔肿块1周入院。患者15岁初潮,月经正常,无痛经史。20岁结婚,婚前与妊娠早期未做过妇查。既往体健。体查:精神营养好,腹部隆起较孕足月稍大,宫底剑突下2指,胎先露头,在耻上偏左,胎方位左枕前,耻上偏右侧可扪及一包块,界线不清,不活动,无压痛,胎心率140次,宫缩不规则,外阴无异常分泌物。B超示晚妊单活胎,胎盘Ⅲ级,胎头悬于中下腹,盆腔肿块来自右侧卵巢可能性大(下腹部偏右侧探及一约18cm×11.2cm大小的周边似有包膜,内为不均匀光点回声的包块,后方效应增强,子宫下段受压。使胎头悬于左中下腹)。三大常规与肝、肾功能均正常,
Patient, 21 years old. Pregnancy _1 production _0. 37 weeks due to intrauterine pregnancy irregular lower abdominal pain and examination found pelvic mass 1 week admission. 15-year-old menarche patients, normal menstruation, history of painless. 20-year-old married, premarital and early pregnancy have not been women check. Past physical health. Physical examination: good mental nutrition, abdominal bulge more full-term pregnancy, Palace of Swords suddenly 2 fingers, the first outburst of shame on the left, the fetus position on the left pillow, shame on the right palpable and a package Block, the boundary is unclear, inactivity, no tenderness, fetal heart rate 140 times, irregular contractions, no abnormal vulva secretions. B ultrasound showed a single live birth of late pregnancy, placenta III, fetal head hanging in the lower abdomen, the possibility of pelvic mass from the right ovary (lower abdomen to the right to explore and about 18cm × 11.2cm size of the surrounding envelope , Within the uneven spot echogenic mass, the rear effect is enhanced, the lower uterine pressure. The fetal head suspended in the left lower abdomen). Three common rules and liver, kidney function are normal,