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患者22岁,因孕足月阵发性腹痛3小时于1989年12月26日住院,孕期经过良好。查体:T36℃,P88次/分,Bp14.7/9.3 kPa,心肺未闻及异常,宫高28cm,腹围85cm,宫缩良好产程顺利,正常分娩一男活婴,Apgar评分9分,体重1800g,无畸形,新生儿消瘦,皮肤干燥,耳廓软骨已发育完整,睾丸下降,阴囊多皱褶,足底纹理多,为典型的IUGR儿。胎儿娩出后见一紫蓝色囊性肿物脱露于阴道口,5分钟后肿物娩出,随即胎膜胎盘完整娩出。胎盘25cm×20cm×5cm,重1400g。肿物位于距胎盘10cm处的脐带上。脐带纤细横切面直径为1.0cm×0.8cm,长度
The patient was 22 years old and was hospitalized for paroxysmal trimester abdominal pain for 3 hours on December 26, 1989, and her pregnancy passed well. Check body: T36 ℃, P88 beats / min, Bp14.7 / 9.3 kPa, cardiopulmonary unhealthy and abnormal, uterine height 28cm, abdominal circumference 85cm, contractions good labor process smoothly, normal delivery a male live infant, Apgar score 9, weight 1800g, no deformity, newborn weight loss, dry skin, auricle cartilage has been developed, testicular descent, scrotum and more folds, plantar texture and more, as a typical IUGR children. Fetal childbirth see a purple blue cystic tumor revealed in the vagina mouth, 5 minutes after the tumor was delivered, then the full delivery of fetal membranes placenta. Placenta 25cm × 20cm × 5cm, weighing 1400g. The mass is located on the umbilical cord at a distance of 10 cm from the placenta. Umbilical cord slender cross-section diameter of 1.0cm × 0.8cm, length