论文部分内容阅读
患者女,23岁,孕1产0,36周妊娠,无原因阴道流血1次,出血约300ml,临床拟诊前置胎盘;B 超提示:宫内胎儿存活,前壁胎盘Ⅱ级;半月后又以无痛性反复阴道流血而入院,出血约700ml,面色苍白,检查宫底剑下二指,右枕前位,胎心音不清晰,再次B 超检查。超声所见:胎儿头位,双顶径为9.0cm,头环与脊柱连续完整,胎心搏动规则,胸、腹腔无异常发现;羊水暗区清晰,最大前后径为8.0cm,胎盘附着在子宫体的前壁,绒毛板线状回声出现切迹,实质回声有增强光点,下缘未到达
Female patient, 23 years old, pregnant and 1 production of 0, 36 weeks of gestation, vaginal bleeding for no reason 1, bleeding about 300ml, clinical diagnosis of placenta previa; B-ultrasound tips: intrauterine fetal survival, anterior placenta Ⅱ level; Again painless repeated vaginal bleeding and admission, bleeding about 700ml, pale, check the second finger under the palace sword, right anterior occipital, fetal heart sound is not clear, again B-ultrasound. Ultrasound findings: fetal head position, biparietal diameter of 9.0cm, the first ring and the spine continuous complete, fetal heart beat rules, no abnormal chest, abdominal found; amniotic fluid dark area clear, the maximum anteroposterior diameter of 8.0cm, the placenta attached to the uterus The front wall of the body, fluffy linear echoes appear notch, the real echo has enhanced light spots, the lower edge did not reach