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病例1张某,23岁。于1989年7月3日入院。患者末次月经1989年3月4日,闭经4月,因要上学要求终止妊娠。孕早期顺利,未感到有胎动。查体:一般情况良好,宫底高度脐耻之间。妇检:外阴(-),阴道通畅,宫颈光着色,宫体孕4~+月大小,附件不清。临床各项常规化验均正常。B超检查:宫内见一胎儿,胎心(+),胎动(+),胎头光环不完整,无正常颅内结构,脊柱不连续。拟诊为:1.中孕活胎;2.无脑儿并脊柱裂。临床处理:7月8日行利凡诺羊膜腔
Case 1 Zhang, 23 years old. On July 3, 1989 admission. The patient’s last menstrual March 4, 1989, amenorrhea in April, due to go to school to terminate the pregnancy. Early pregnancy smooth, did not feel a fetal movement. Physical examination: the general condition is good, the uterus at the end of the umbilical height between shame. Gynecological examination: vulva (-), vaginal patency, cervical light color, Palace pregnancy 4 ~ + month size, attachment is unclear. Clinical routine tests were normal. B-ultrasound: intrauterine see a fetus, fetal heart rate (+), fetal movement (+), incomplete fetal aura, no normal intracranial structure, the spine is not continuous. To be diagnosed as: 1. Pregnant live births; 2. No brain children and spina bifida. Clinical Management: July 8 line Richeno amniotic cavity