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一、病例摘要例1:患者28岁,因停经38周~(+1),腹痛伴阴道出血30 min于2016年9月12日20时12分入宜昌市中心人民医院,既往人工流产2次,未生育,于妊娠8周~(+2)时因阴道出血在本院彩超提示子宫角部妊娠,见图1A。住院治疗,余无特殊病史。因有生育要求,保胎治疗后出院,规律产检,结果正常。入院时查体:孕妇生命体征平稳,心肺听诊无异常,左上腹部压痛(+),腹肌软,无反跳痛,阴道少量出血,色暗红,无头晕、心慌等特殊不适,大小便正常,胎心
First, the summary of cases Example 1: 28-year-old patient, due to menopause 38 weeks ~ (+1), abdominal pain with vaginal bleeding 30 min at 12:01 on September 12, 2016 into Yichang City People’s Hospital, the past two abortion , Did not give birth, at 8 weeks of gestation ~ (+2) due to vaginal bleeding in the hospital color ultrasound prompt uterine horn pregnancy, shown in Figure 1A. Hospitalization, I have no special history. Because of fertility requirements, miscarriage after discharge treatment, regular birth control, the result is normal. Physical examination on admission: Pregnant women with stable vital signs, cardiopulmonary auscultation no abnormalities, left upper abdomen tenderness (+), abdominal soft, no rebound tenderness, minor vaginal bleeding, dark red, no dizziness, palpitation and other special discomfort, normal urine , Fetal heart rate