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足月腹腔妊娠临床诊断较困难,X 线检查起着重要作用,我院曾遇到此病一例,经手术证实,现报告如下:患者36岁(住院号32870),主诉停经后先后因腹疼住院三次,停经9个月腹疼加剧,并伴有胎动疼。患者17岁初潮,月经3/(28-30)天,量中等,痛经(±)。18岁结婚后生一男孩现健在,患者叙述自己因患“肺结核、肠系膜淋巴结核、腹膜结核”16年不孕。患者就诊时左侧屈卧位,表情痛苦,查体见腹部高度膨隆,宵底触不清,但可明显触及胎体,胎心规律140次/分,胎动活跃,伴有腹部剧疼,余未见异常。妇科内诊见宫颈重度糜烂、充血,子宫偏左侧大过拳头,附件未触清。腹部 X 线平片见胎儿异常高位,达左季肋下,肢体下垂,头颅和脊柱位置重叠,骨骼阴影异常清晰,母体肠腔气体阴影与胎儿阴影相重混
Full-term clinical diagnosis of intrauterine pregnancy more difficult, X-ray examination plays an important role in our hospital had encountered a case of this disease, confirmed by surgery, the report is as follows: 36-year-old patient (hospital number 32870), complained of menopause Hospitalized three times, menopause 9 months increased abdominal pain, accompanied by fetal pain. Patients 17-year-old menarche, menstrual 3 / (28-30) days, the amount of moderate, dysmenorrhea (±). 18-year-old married after the birth of a boy is now alive, the patient described his own suffering from “tuberculosis, mesenteric lymph nodes, peritoneal tuberculosis,” 16 years of infertility. Patient at the time of the treatment of the left side of the lying position, painful facial expression, see the body to see the abdomen bulge, the night touch is not clear, but can obviously reach the carcass, fetal heart rate 140 beats / min, fetal movement, with abdominal pain, No abnormalities. Gynecological visit to see severe cervical erosion, hyperemia, left side of the uterus than fist, attachment did not touch. Abdominal X-ray to see abnormal fetal high, up to the left quarter ribs, limbs sag, skull and spine overlap, abnormal bone shadow clear, maternal intestinal gas shadow and fetal shadow mixed phase