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孕妇,27岁,已婚,工人。因妊娠32(2/7)周,四胎0产,羊水过多,胎儿先天性畸形,由当地医院于1990年6月2日转我院。入院“B 超”提示胎儿内脏膨出。病史中人工流产术3次,末次流产于1989年6月,距本次妊娠间隔三月余,停经3月时因“高热”肌注“柴胡”外无其它治疗,无阴道流血保胎史,无胎膜破裂史,无家族遗传,放射线接触及口服避孕药病史。入院后于1990年6月6日行羊膜腔内雷佛奴尔引产术,6月7日自娩一女婴,Apgar 评分0分,体重1300g,长35cm,外观见儿头较小,于左额部有膜蒂状物相连于胎盘,脐带短约11cm,左眼缺如,右眼膨出。产后探及宫都有一不完全纵膈,余无异常。
Pregnant woman, 27 years old, married, worker. Due to 32 (2/7) weeks of gestation, four births and 0 births, excessive amniotic fluid, and fetal congenital malformations were transferred to our hospital by the local hospital on June 2, 1990. Admitted to the “B-ultrasound” prompted fetal internal organs bulging. History of abortion three times, the last abortion in June 1989, from the pregnancy more than three months apart, March menopause due to “high fever” intramuscular injection of “Bupleurum” no other treatment, no history of vaginal bleeding , No history of rupture of membranes, no family history, history of radiation exposure and oral contraceptives. After admission on June 6, 1990, intrahepatic amniotic cavity Leifu Er induced abortion, a baby girl born on June 7, Apgar score of 0, weight 1300g, length 35cm, the appearance of the child smaller, on the left Frontal membranous pedicle attached to the placenta, umbilical cord short about 11cm, left eye absent, right eye bulging. Postpartum exploration and the palace has an incomplete mediastinum, I no exception.