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孕妇24岁,农民,初孕,妊期内未做妇科有关检查,约3个半月时,因劳动后感胎动明显并有腹痛.未经治疗,一天后症状减轻.足妊分娩一发育正常男婴.结扎脐带.查看胎盘时发现,胎盘有另一脐带连一纸样胎儿.1 纸样胎儿形态 胎儿被挤压呈扁平状,肢体难以恢复正常位置.测量结果如下:顶臀长12.2cm,颅左右径1.00cm,前后径3.40cm,胸左右径1.00cm,前后径3.40cm;腹部左右径0.80cm,前后径3.60cm.胎儿重56克.皮肤薄而暗淡,无毛发,皮下组织及肌肉较薄.顶骨、枕骨、下颌骨、肋及四肢骨的形态明显可见,面部可见五官轮廓.2 附属物 胎盘近似圆盘状,长径19cm,短径17cm.胎盘厚薄各半,较厚部分(约2.50 cm)连一脐带(长34cm,直径0.60 cm),母体面粗糙,胎盘小叶明显,呈暗红色.胎儿面羊膜完整,脐血管的分支及属支明显可见.胎盘较薄的部分(约 1.20 cm)呈灰白色,平坦.在该侧近中心处,连一扭曲而萎缩的脐带(长12cm,压扁最宽处0.30 cm),连接纸样胎儿.
Pregnant women 24 years old, peasants, first trimester, pregnancy did not gynecological examination, about 3 and a half months, due to labor sense of fetal movement was obvious and abdominal pain. Without treatment, one day after the symptoms alleviate. Infant ligation of the umbilical cord.When looking at the placenta, the placenta with another umbilical cord with a pattern-like fetus.Figure 1 fetus fetus was extruded flat shape, the body is difficult to return to normal position.The results are as follows: Top rump 12.2cm long, cranial Diameter 1.00cm, anteroposterior diameter of 3.40cm, chest diameter of about 1.00cm, anteroposterior diameter of 3.40cm; abdominal left and right diameter 0.80cm, anteroposterior diameter of 3.60cm. Fetal weight 56 grams. Thin and dark skin, no hair, subcutaneous tissue and muscle thinner The morphology of the parietal, occipital, mandible, rib, and limb bones is clearly visible with facial features visible on the face.2 appendages The placenta is approximately disc-shaped with a long diameter of 19 cm and a short diameter of 17 cm. The thickness of the placenta is about half cm) with a umbilical cord (34 cm in length, 0.60 cm in diameter) with a rough maternal surface with a clear placental lobule and a dark red color.The fetal amniotic membrane was intact and the branch and branch of the umbilical vessels were clearly visible.The thinner part of the placenta (about 1.20 cm ) Is gray-white, flat in the near side of the center, with a twist and atrophy of the umbilical cord ( Length 12cm, crush the widest point 0.30 cm), connected to the pattern of fetus.