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患者女,30岁。孕6产5,停经37周。患者停经3个月后感觉持续性下腹部隐痛,且左腹有一包块,随着停经月份的增加而逐渐长大。停经5个月时有胎动感。入院前1个月因腹痛加重,当地医院给予抗生素治疗无效,故请中国医生就诊。以往无流产及早产史。查体:发育中等,营养差,贫血貌。肝区有压痛,腹隆起,子宫轮廓不清,先露高,胎位不正,胎体横于上腹部,在腹壁可清楚
Female patient, 30 years old. Pregnancy 6 5, menopause 37 weeks. Patients 3 months after menopause persistent lower abdominal pain, and a mass of the left abdomen, with the increase in menopause, and gradually grew up. 5 months after menopause fetal movement. One month prior to admission due to aggravating abdominal pain, antibiotics given to the local hospital is invalid, so please visit a Chinese doctor. In the past no abortion and premature delivery history. Physical examination: medium development, poor nutrition, anemia appearance. Liver area tenderness, abdominal bulge, uterine outline is unclear, the first exposed high, fetal position is not correct, the carcass transverse in the abdomen, the abdominal wall can be clear