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患者23岁,因妊娠38周、腹痛6小时,于1987年8月8日入院。孕_1产_0。自16岁时发现左侧小阴唇有蚕豆大肿物,无明显增长及自觉症状。从孕3个月起肿物开始增大。查体:一般情况良好。心肺(-)。宫底高35cm,枕左前位,胎头入盆,胎心率140次,宫缩规律,宫口开大2cm。左侧小阴唇呈扇形葡萄状增大,高度水肿,表面无破溃。会阴体正中有1×1cm大蕈状肿物。骨盆外测量正常。左下
The patient, 23, was admitted to hospital on August 8, 1987 because of abdominal pain of 38 weeks of gestation and 6 hours of pain. Pregnancy _1 production _0. Since the age of 16 found that the left labia minora has broad bean, no significant growth and symptoms. From 3 months pregnant began to increase the tumor. Physical examination: generally good. Cardiopulmonary (-). Palace at the end of 35cm high, occipital left anterior, fetal head into the basin, fetal heart rate 140 times, contractions of the law, cervix open 2cm. The left labia minora fan-shaped grape-like increases, a high degree of edema, the surface without ulceration. There are 1 × 1cm large mushroom-shaped mass in the perineal body. Abnormal pelvic measurements. Lower left