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宫内外复合妊娠足月分娩并产时大出血一例 被引量:1

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摘要 患者38岁.孕2产0.因停经8个多月,胎动4个月于2011年7月26日入院.平素月经规律,孕前行子宫输卵管造影,诊断为"双角子宫",孕期无明显早孕反应,孕2~3个月时因阴道流血行保胎治疗后好转(用药不详).孕期有规范产检,多次行产前B超检查均提示双子宫妊娠?其余检查无明显异常,为行剖宫产术入院.既往体健,2009年曾行"输卵管整形术".8年前于孕40d行药物流产.入院查体无异常, 产科检查:双胎胎位分别为左骶前/右枕前,胎心率146/142次,无宫缩.B超检查提示宫腔内见双胎,双胎胎儿双顶径均为8.5 cm,羊水指数(AFI)16.6 cm,胎心率141/139次,胎盘位于宫体前壁及侧壁,成熟度Ⅱ级.入院诊断:(1)孕2产0,孕37周+1;(2)双胎妊娠;(3)高龄初产;(4) 双角子宫?
出处 《中华妇产科杂志》 CAS CSCD 北大核心 2012年第11期879-879,共1页 Chinese Journal of Obstetrics and Gynecology
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参考文献7

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