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患者24岁,住院号42552。孕2产0,因停经20~(+3)周,胎动消失6天于1987年4月20日入院。既往身体健康,孕期无腹痛、阴道出血及流水情况,孕4个月余感胎动。自述4月14日因劳累惊吓后胎动开始频繁继而消失。B 超检查诊为“宫内死胎”收住院治疗。检查:子宫如孕5个月大小,未听到胎心音。于21日羊膜腔内注入芫花液0.4mg,术中抽出羊水呈血性,浓稠。23日阴道自然分娩一女死婴,身长22cm,重1000g,体表无畸形。胎盘15×12×1.5cm 大小,胎儿面及母体面无异常发现。脐带长22cm,距胎盘端8cm 处被0号肠线粗细的羊膜束带紧绕两周,脐带绞窄变细几乎被截为两段,仅有羊膜层相连,羊膜束带一端紧附在胎儿前囟门正中头皮上,二者难以分开。另一端附着在胎盘的胎儿面距脐根5cm 处,羊膜束带根部呈三角形,高4cm,底宽0.7cm,韧性大,不易拉断,无弹性。
Patient 24 years old, hospital number 42552. Pregnancy 2 0, due to menopause 20 ~ (+3) weeks, fetal movement disappeared 6 days in April 20, 1987 admission. Past physical health, no abdominal pain during pregnancy, vaginal bleeding and running water, pregnant 4 months pregnant feeling fetal movement. Readme 14 April due to tiredness frightened fetal movement began to frequent and then disappear. B ultrasound examination for “intrauterine fetal death” admitted to hospital for treatment. Check: If the uterus 5 months pregnant size, did not hear the fetal heart sound. On the 21st amniotic fluid injection of genkwa liquid 0.4mg, intraoperative amniotic fluid was bloody, thick. Female vaginal delivery on the 23rd day a natural female child, body length 22cm, weight 1000g, no deformity on the surface. Placenta 15 × 12 × 1.5cm size, fetus and maternal no abnormalities found. Umbilical cord length 22cm, 8cm away from the placenta at 0 gut thickness of the amniotic band tight tight around two weeks, umbilical cord narrowed narrowed almost cut into two sections, only the amniotic layer connected to one end of the amniotic band tightly attached to the fetus Front fontanel on the scalp, the two are difficult to separate. The other end attached to the placenta of the fetus from the umbilical root 5cm Department, amniotic band root triangle, height 4cm, bottom width 0.7cm, toughness, easy to pull off, inelastic.