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患者38岁,住院号13157。1990年12月5日该患停经10周时无明显诱因突发腹坠痛,阴道淋漓出血,在某医院诊为“双子宫、双胎妊娠”。12月7日自然流产一女性死胎,重70g。发育完全。胎盘随之娩出,产后出血不多。产后B超检查:见另一胎儿胎心良好,行保胎治疗一周后出院。定期产前检查未见异常。1991年5月13日,患者妊娠35周,家务劳动后出现阵发性腹痛伴阴道流液2小时入院。查体:贫血外貌,Bp14/8kPa腹膨隆,腹肌紧张,胎位查不清,胎心音未听到。内诊:宫颈半消失,宫口开大2cm,头先露,
38-year-old patient, hospital number 13157. December 5, 1990 the affected menopause 10 weeks no significant incentive sudden abdominal pain, vaginal dripping bleeding in a hospital diagnosed as “double uterus, twin pregnancy.” December 7, a spontaneous abortion of a stillborn child, weighing 70g. Complete development. Placenta followed by delivery, postpartum hemorrhage is not much. Postpartum B-ultrasound: see another fetus good fetal heart rate, the line of unprotected fetal discharge after a week. Regular prenatal examination showed no abnormalities. May 13, 1991, 35 weeks of pregnancy, housework after paroxysmal abdominal pain with vaginal fluid admitted to hospital for 2 hours. Examination: anemia appearance, Bp14 / 8kPa abdominal bulge, abdominal muscle tension, fetal position check unclear, fetal heart sound did not hear. Internal consultation: cervix half disappear, cervix open large 2cm, first dew,