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患者25岁,住院号40539,初孕29~(+5)周.因近期腹围增大明显,胎儿触之不清来院行B 型超声检查.超声所见:于耻骨联合上见完整胎儿头颅光环,测得双顶径7.22cm,头围27.29cm,腹围29.63cm,股骨长度5.55cm,胎儿体重1334g,胎儿脊桂排列规则,胎心搏动好,胎盘附着宫底部,回声Ⅱ级,羊水清,羊水池深11.00cm,胎儿脐带异常增粗,膨大,脐带血管扩张,扭曲,于脐带近胎儿腹部端可见-7.54cm×6.83cm 混合性光团,其壁光滑,但内部有分隔,光团内可见5.77cm×5.23cm 强回声区,边缘呈菜花样且内部回声不均质,强光团后方伴声影,并见有一弱回
The patient was 25 years old, hospital number 40539, the first trimester of 29 ~ (+5) weeks.Because the recent abdominal circumference increased significantly, the fetus unclear to the hospital line B ultrasound.Ultrasound: seen in the pubic symphysis intact fetal head Aureus, measured biparietal diameter 7.22cm, head circumference 27.29cm, abdominal circumference 29.63cm, femur length 5.55cm, fetal weight 1334g, fetal ridge arrangement rules, good fetal heart beat, placenta attached to the bottom of the palace, echo grade Ⅱ, amniotic fluid Clear, amniotic fluid pool deep 11.00cm, fetal umbilical cord abnormal thickening, enlargement, umbilical cord blood vessels dilated, twisted, in the umbilical cord near the abdomen can be seen -7.54cm × 6.83cm mixed light group, the wall smooth, but the internal separation, light The group can be seen 5.77cm × 5.23cm strong echo area, the edge was cauliflower and the internal echo is not homogeneous, light group with sound shadow behind, and see a weak back