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1病例报告患者女,27岁。因妊娠足月待产入院。妊娠前于外院确诊为系统性硬皮病(SSc),给予口服泼尼松治疗;妊娠期间,经医院会诊,继续口服泼尼松。自诉病情平稳。查体:体温36.6℃,脉搏80/min,呼吸18次/min,血压110/70mmHg,皮肤黏膜无苍白及黄染,心肺听诊未闻及异常;腹部膨隆,宫高36cm,腹围100cm,胎位左枕前,胎心140/min,双下肢无水肿。消毒内诊:宫颈未消,宫口未开,先露头S-3,胎膜未破,骨盆内外测量正常。超声检查:双顶径9.4cm,腹围33.7cm,羊水指数15.4cm,子宫前壁3.1cm×1.4cm,实性低回声。提示晚期宫内妊娠,单活胎、头位,以及子宫肌瘤。根据患者及家属要求,行剖宫产手术。
A case report patient female, 27 years old. Due to pregnancy full term to be admitted to hospital. Before pregnancy, it was diagnosed with systemic scleroderma (SSc) in the outpatient setting and given oral prednisone treatment. During pregnancy, the patient was given oral prednisone through a hospital consultation. Prosecution condition stable. Examination: body temperature 36.6 ℃, pulse 80 / min, breathing 18 times / min, blood pressure 110 / 70mmHg, pale and yellow skin and mucosa, auscultation and cardiopulmonary were not heard and abnormal; abdominal bulge, Palace height 36cm, abdominal circumference 100cm, Left pillow, fetal heart 140 / min, no lower extremity edema. Disinfection clinic: the cervix is not eliminated, the cervix is not open, the first outcrop S-3, fetal membranes are not broken, measuring the normal pelvic both inside and outside. Ultrasonography: biparietal diameter 9.4cm, abdominal circumference 33.7cm, amniotic fluid index 15.4cm, 3.1cm × 1.4cm anterior uterine wall, solid hypoechoic. Prompt late intrauterine pregnancy, single live births, head position, and uterine fibroids. According to the requirements of patients and their families, cesarean section operation.