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1 临床资料患者23岁,1992年10月25日以宫内孕40周、巨大胎儿、持续性枕横位急诊入院。患者孕40余天有早孕反应,孕4个月感胎动,孕3个月开始颜面皮肤粗糙,手脚变大,声音变粗,随着妊娠月份增加,以上症状体征越来越明显。入院检查:发育良好,颜面皮肤粗糙,发黑,有少量痤疮,声音粗,出现喉节,手脚大如男性青年,阴蒂增大,前后胸部多毛生长,长约2～3cm。心肺无异常,肝脾未触及,腹部膨隆如足月妊娠大小,宫高32cm,腹围124cm,左枕位,胎心146次/分,先露头,已固定,盆内外测量未发现明显异常。宫口开大7cm,胎膜末破,先露为-2,左枕横,B超检查:胎儿双顶经9.8cm,胎盘Ⅲ级。化验:血红蛋白120g/L,红细胞4.6×10~(12)/L,白细胞16×10~9/。诊
A clinical data of patients 23 years, October 25, 1992 intrauterine pregnancy 40 weeks, a huge fetus, continuous occipital transverse emergency admission. Patients with pregnancy more than 40 days have early pregnancy reaction, pregnant 4 months feeling fetal movement, 3 months pregnant began to face rough skin, hands and feet become larger, thick voice, with the increase in pregnancy in the month, more obvious signs and symptoms. Admission examination: well-developed, facial rough skin, black, a small amount of acne, thick voice, throat appears, hands and feet as young men, clitoral increases, before and after the chest hairy growth, about 2 ~ 3cm. No abnormal heart and lung, liver and spleen not touched, abdominal bulging, such as full-term pregnancy size, Palace height 32cm, abdominal circumference 124cm, left pillow position, fetal heart rate 146 beats / min, first outcropping, fixed, no significant abnormal pelvic and external measurements. Miyaguchi open large 7cm, fetal membranes at the end of the break, first exposed to -2, left occipital transverse, B-ultrasound: fetus biparietal by 9.8cm, placenta III. Laboratory tests: hemoglobin 120g / L, red blood cells 4.6 × 10 ~ (12) / L, white blood cells 16 × 10 ~ 9 /. Clinic