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患者,35岁,孕2产1,宫内孕39周头位,妊娠高血压,未临产。入院后,产科情况:宫高32cm,腹围99cm,胎位LOA,头先露,未入盆,肛查:宫颈软未消失,宫口未开,胎膜存。诊断:1。宫内孕足月头位待产;2。妊娠高血压。入院第2天,早7点阴道有少量清亮液体流出,无宫缩,胎心每分140次。肛查:宫口未开,下午2点出现胎儿宫内窘迫,急行剖腹一男婴,胎盘取出后发现子宫腔内左后壁有一约4cm×4cm×3cm大肿物,质硬,不活动,无蒂,肿物表面有一层很薄的内膜覆盖,钝性分离剥出肿物,出血不多。术后阴
Patients, 35 years old, 2 pregnant 1, 39 weeks of first trimester pregnancy, pregnancy-induced hypertension, not labor. After admission, obstetric conditions: Palace height 32cm, abdominal circumference 99cm, fetal LOA, first dew, not into the basin, anal examination: cervix did not disappear, cervix is not open, the fetal memory. Diagnosis: 1. Intrauterine pregnancy full head to be produced; 2. Gestational hypertension. Admission the first 2 days, as early as 7:00 vaginal discharge of a small amount of liquid clear, no contractions, fetal heart rate 140 points per minute. Anal examination: cervix is not open, 2 pm fetal distress, urgent cesarean section of a baby boy, after removal of the placenta found in the left posterior wall of the uterus a large 4cm × 4cm × 3cm mass, hard, inactive, no Pedicle, the surface of the tumor has a thin layer of endometrial coverage, blunt dissection stripping of the tumor, bleeding is small. After surgery