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在收集胚胎标本中、发现胸腹壁缺如脏器膨出伴多发性畸形 例.标本为二孕一胎,妊娠30周,臀位死产,女性,体重2010克,立高37cm.母23岁.农民.第一孕为过期流产,本次妊娠早期曾服用“安胎药”.剖检所见:胸腹壁缺如,上至左锁骨.下至脐环的胸腹壁皮肤肌肉消失,胸骨和膈缺如,脊柱后弯,胸椎和腰椎突向前.心、左肺、肝、胃、脾、小肠、大肠暴露可见.肝前缘纯圆,后缘锐薄,左叶比右叶大,左叶后方有锥形的突起,右叶下方有较大的尾状叶、胆囊缺如,胆总管从十二指肠至肝门,长3cm口径0.2cm.右肾发育正常,左肾较大呈囊性,表面分叶状,剖面可见大小不等的囊腔、最大为1.5×1.5cm.膀胱位置正常,右侧卵巢、输卵管和子宫均正常.左侧卵巢细长,长5.5cm左侧输卵管长7cm与左侧卵巢并排贴于腹后壁,
In the collection of embryo specimens, found that the abdomen of the abdomen without organ bulging with multiple deformity cases .Two pregnancies, one fetus, pregnancy 30 weeks, buttocks stillbirth, women, body weight 2010 grams, standing height 37cm. Female 23 years old First pregnancy as an abortion, early pregnancy have taken “tocolysis.” Autopsy findings: lack of chest and abdomen, up to the left clavicle. Down to the umbilical ring chest wall abdominal muscle disappeared, the sternum and Left atrium, liver, stomach, spleen, small intestine, large intestine exposure can be seen. Pure anterior liver edge, sharp edge of the posterior margin, the left lobe than the right lobe, The left lobe has a conical protuberance, a large caudate lobe below the right lobe, absence of the gallbladder, the common bile duct from the duodenum to the hepatic portal, and a 3 cm long caliber 0.2 cm. The right kidney develops normally and the left kidney is larger Cystic, lobulated surface, the section can be seen in varying sizes cysts, the largest 1.5 × 1.5cm .Black normal position, the right ovary, fallopian tubes and uterus are normal.The left ovary slender, length 5.5cm left Fallopian tube length 7cm and the left ovary side by side posted in the abdominal wall,