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患者,女,43岁,因“停经39+3周,腹痛伴阴道少量出血2h”于2012年12月31日1:38急诊收入院。患者平素月经规律,LMP:2013年3月28日,EDC:2013年1月4日。查体:生命体征平稳,心肺听诊(-),腹膨隆,子宫轮廓清,下腹见一长约10cm纵形疤痕,腹软,无压痛及反跳痛,双下肢无水肿。产科检查:宫高37cm,腹围109cm,胎心率145次/min。妇科检查:宫口扩张2cm,宫颈管消退70%,质中,中位,先露s-2。2012年12月20日我院B超示:双顶径97mm,腹围369mm,股骨70mm。BPS 8
Patients, female, 43 years old, due to “Menopause 39 + 3 weeks, abdominal pain with vaginal bleeding 2h ” On December 31, 2012 1:38 emergency hospital. Patients usually menstrual regularity, LMP: March 28, 2013, EDC: January 4, 2013. Physical examination: stable vital signs, cardiopulmonary auscultation (-), abdominal bulging, clear uterine contour, lower abdomen, see a length of about 10cm longitudinal scar, abdomen soft, no tenderness and rebound tenderness, no lower extremity edema. Obstetric examination: Gong Gao 37cm, abdominal circumference 109cm, fetal heart rate 145 beats / min. Gynecological examination: cervix expansion 2cm, 70% of cervical canal subsided, quality, median, first exposed s-2 .2012 on December 20 B ultrasound showed that: biparietal diameter 97mm, abdominal circumference 369mm, femur 70mm. BPS 8