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患者29岁,G_1P_0,孕38周,门诊产前检查测BP20/12.1kPa,以轻度妊高征于1996年11月19日收入院.患者末次月经1996年2月23日,预产期11月30日.孕期未做产前检查.查体:T:36.4℃,P:84次/min,R:21次/min,BP:21.3/13.3kPa,营养佳,自动体位,下肢水肿(+),宫高35cm,腹围100cm,头先露未入盆,胎心140次/min.B超示:胎儿双顶径9cm,体重3115g,胎盘Ⅲ°成熟,羊水平段36mm,尿蛋白(一).11月23日规则宫缩发动.肛查:宫口开大4cm,先露头,棘上3cm,羊水未破,于儿头左前方触及一9cm×7cm大小肿物,影响胎头下降.诊断:孕38周、G_1P_0,盆腔包块性质待查,软产道梗阻.当天行子宫下段剖腹产+探查术,术中见子宫下段拉长,血管纵横交错,横径较窄,娩出男婴重3300g,子宫切口向左下方撕裂.切口缝合后,行探查术:妊娠子宫狭长,右侧有正常的附件,圆韧带;左侧附件、圆韧带缺如.于妊
Patient 29 years old, G_1P_0, 38 weeks pregnant, outpatient antenatal examination measured BP20 / 12.1kPa, with mild pregnancy-induced hypertension in hospital on November 19, 1996. The last menstrual period February 23, 1996, the expected date of November 30 Day.Pregnancy did not do prenatal examination. Examination: T: 36.4 ℃, P: 84 times / min, R: 21 times / min, BP:21.3/13.3kPa, nutrition and good posture, lower extremity edema Palace height 35cm, abdominal circumference 100cm, the first first revealed not into the basin, fetal heart rate 140 times / min.B ultrasonography: fetus biparietal diameter 9cm, weight 3115g, placenta Ⅲ ° mature sheep level 36mm, urinary protein (a) November 23 rule contractions launched anal anal: cervix open 4cm, first outcrop, spine on 3cm, amniotic fluid is not broken, in the left front of the child touched a 9cm × 7cm size of the tumor, affecting fetal head decline. : 38 weeks pregnant, G_1P_0, pelvic mass nature to be investigated, soft birth obstruction .Home line lower uterine caesarean section + exploratory surgery, see the lower uterine segment elongated, vascular criss-cross, narrow diameter, the baby boy delivered 3300g, Uterine incision to the left and tear. Suture suture, line probing: pregnant uterus long and narrow, the right side of the normal attachment, rounded ligament; left attachment, lack of round ligament. In pregnancy