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患者27岁,主因孕6个月第三胎于1994年7月18日入院。以往月经规则,无痛经史,末次月经1993年11月25日(农历)。早孕反应不明显,孕4个月初感胎动较频繁。孕3、产2、中引1,末次生产为1993年3月中引。查;体温37.4℃,脉搏106次/分,呼吸18次/分,血压17/12kPa。心肺、肝、脾无异常。妇科情况,外阴经产式、阴道通畅、宫颈光滑,宫体增大如孕足月,无压痛,触不清胎位,听不到胎心。B超检查,宫内有三个胎儿,双顶径分别为6.0cm、5.9cm、6.1cm,3个胎心搏动。心电图报告:心动过速,心得安试验结果阳性。于24
The patient was 27 years old and her third child was admitted to hospital on July 18, 1994 because of her third trimester of pregnancy. Past menstrual rules, painless history, the last menstrual November 25, 1993 (Lunar New Year). Early pregnancy reaction is not obvious, the first 4 months of gestation fetal movement more frequently. Pregnancy 3, production 2, in 1, the last production in March 1993 cited. Check; body temperature 37.4 ℃, pulse 106 beats / min, breathing 18 beats / min, blood pressure 17 / 12kPa. Cardiopulmonary, liver, spleen and no abnormalities. Gynecological conditions, genital production, vaginal patency, cervical smooth, enlargement of the uterus, such as pregnancy term, no tenderness, palpable fetal position, can not hear the fetal heart. B-ultrasound, there are three intrauterine fetus, biparietal diameter were 6.0cm, 5.9cm, 6.1cm, 3 fetal heart beat. ECG report: tachycardia, propranolol test results were positive. At 24