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例1,34岁,妊娠40周于1989年8月24日入院。末次月经1988年11月20日,停经40天有早孕反应,孕5个月感胎动。孕3产2,死产1次。查体:T36.6℃,P85,R20,BP18.0/12.0kpa。神志清,心、肺正常。腹膨隆,肝脾肋下未触及,宫底剑突下4Cm,横位,胎心音140次/分。两下肢无水肿。血、尿常规,出、凝血时间、血小板均正常,血型A型。腹部B超提示完全性前置胎盘。入院诊断:宫内孕40周,横位,完全性前置胎盘,孕3产2。住院观察1周,无宫缩,阴道无出血,小量催产素静滴24小时仍无宫缩,拟诊腹腔妊娠。行剖腹探查术,术中见子宫如孕80天大,羊膜囊与大网膜及部分肠
Cases of 1,34 years old, 40 weeks of gestation on August 24, 1989 admitted. The last menstrual November 20, 1988, 40 days after menopause have early pregnancy reaction, pregnancy 5 months of fetal movement. 3 pregnant 2, 1 stillbirth. Physical examination: T36.6 ℃, P85, R20, BP18.0 / 12.0kpa. Consciousness, heart, lungs normal. Abdominal bulge, liver and spleen ribs did not touch the bottom of the temple Sword sudden 4Cm, horizontal, fetal heart sound 140 beats / min. No lower extremity edema. Blood, urine, out, clotting time, platelets were normal, blood type A type. B-ultrasound abdomen prompted complete placenta previa. Admission diagnosis: intrauterine pregnancy 40 weeks, transverse position, complete placenta previa, 3 pregnant 2. Inpatient observation 1 week, no contractions, vaginal bleeding, a small amount of oxytocin intravenously 24 hours without contractions, to be diagnosed abdominal pregnancy. Laparotomy exploration, surgery, see the uterus, such as 80 days pregnant, amniotic sac and omentum and part of the intestine