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例1患者32岁,孕34周,孕5剖宫产1,腹部疼痛2d,加剧4h。超声检查:胎儿颅骨强回声完整,BPD:85mm,宫底及前壁胎盘,厚34 mm,子宫底左前壁局部肌层薄,厚约2.6mm(图1)。孕妇腹腔内偏左上侧见液性回声,范围约85 mm×57mm。超声提示:(1)单活胎,孕约34周;(2)植入性胎盘?(3)孕妇腹腔积液(血性可能)。急诊手术,术中见大量积血涌出,吸出部分积血,见子宫底
Case 1 patients 32 years old, 34 weeks pregnant, 5 pregnant cesarean section 1, abdominal pain 2d, exacerbated 4h. Ultrasonography: fetal skull strong echoes, BPD: 85mm, uterus and anterior placenta, thickness 34mm, the left uterine anterior left muscular lamina propria thin, about 2.6mm thick (Figure 1). Pregnant women see the left upper left side of the abdominal cavity echo, the range of about 85 mm × 57mm. Ultrasound tips: (1) single live, about 34 weeks of pregnancy; (2) implanted placenta? (3) pregnant women, ascites (possible bloody). Emergency surgery, intraoperative see massive hemorrhage, sucked out part of the blood, see the end of the uterus