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卵巢浆膜下组织蜕膜样变病例少见,现报告1例如下: 患者女性,35岁,因停经40周,阵发性腹痛4h,无阴道流血流水而入院。患者停经50d后有轻微早孕反应,停经70d阴道少量流血,曾肌注黄体酮保胎治疗3d,血流止。停经4个月时觉胎动,停经5个半月时血压渐升高,最高达21.3/13.3kPa(160/100mmHg),妊娠末期出现下肢可凹性水肿,未接受治疗。入院查体:体温36.5℃,脉搏80/min,呼吸24/min,血压18.7/13.3kPa(140/100mmHg),心肺无异常,腹部膨隆,肝脾触及不满意。膝腱反射无异常,双下肢水肿(+)。产科情况:宫底高在剑突下3横指,先露头,固定,胎位右枕前,胎心率140/min,宫颈软已消失,宫口开大
Ovarian subserosa tissue decidua cases rare cases are reported as follows: The patients were female, 35 years old, 40 days after menopause, paroxysmal abdominal pain 4h, no vaginal bleeding and hospital admission. 50d after menopause, a slight early pregnancy reaction, a small amount of vaginal bleeding after menopause 70d, intramuscular injection of progesterone miscarriage 3d, blood flow only. Menopause 4 months when the feeling of fetal movement, menopause 5 and a half months when the blood pressure gradually increased, up to 21.3 / 13.3kPa (160 / 100mmHg), the late pregnancy with concave edema of the lower extremities, not receiving treatment. Admission examination: body temperature 36.5 ℃, pulse 80 / min, breathing 24 / min, blood pressure 18.7 / 13.3kPa (140 / 100mmHg), no abnormal heart and lungs, abdomen bulging, liver and spleen touching unsatisfactory. No abnormalities in knee tendon reflexes, edema of both lower extremities (+). Obstetric situation: Palace at the bottom of the high in the xiphoid 3 horizontal, first outcrop, fixed, fetal right pillow, fetal heart rate 140 / min, cervical soft has disappeared, the cervix open large