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患者:徐某某,24岁,因第2胎39~(+4)周孕于1987年12月15日入院待产。末次月经1987年3月12日。产前检查正常。既往月经多。23岁结婚,婚后3月自然流产一次,查体:发育营养佳,脉搏血压正常,心肺阴性,腹软肝脾未扪及。产科情况:腹围93cm,宫高33cm,头先露,胎心148次/分,骨盆内外测量正常。入院6天后临产,1、2产程顺利,自产一男婴重3200g,Apga评分10分。胎儿娩出半小时胎盘未下,检查发现胎盘已剥离伴一球形硬物嵌于宫颈处,取出8×8×6cm的平滑肌瘤的球块物及其部分粘连的18×19×?cm大小胎盘。徒手剥离取出较第一个胎盘为小的两个胎盘副叶,各约10×10cm,10×12cm大,与第一个大胎盘间仅
Patients: Xu Moumou, 24 years old, due to the second trimester 39 ~ (+4) weeks of pregnancy on December 15, 1987 admitted to hospital. The last menstruation March 12, 1987. Prenatal examination was normal. Past menstrual and more. 23-year-old married, married in March natural abortion once, physical examination: good developmental well-developed, normal pulse pressure, heart and lung-negative, abdominal soft liver and spleen not palpable. Obstetric conditions: abdominal circumference 93cm, Palace height 33cm, first dew, fetal heart rate 148 beats / min, normal pelvic measurement. Labor 6 days after admission, 1,2 labor smoothly, producing a baby boy weight 3200g, Apga score of 10 points. The fetus was delivered half an hour without the placenta, examination revealed that the placenta has been stripped with a spherical hard object embedded in the cervix, remove 8 × 8 × 6cm leiomyoma of the ball and its part of the adhesion of 18 × 19 ×? cm size placenta. Stripping off the first placenta than the two placenta minor leaves, each about 10 × 10cm, 10 × 12cm large, with only the first between the large placenta