我们在面向农村,开门办学中,在基层教学点发现宫内节育环双环外游1例,因发生率稀少,现报告如下,以引起注意。李××,女,42岁,绥德人,农民,于1975年4月14日来就诊。主诉:怀疑怀孕,要求引产。患者在五年前末次分娩后,放置宫内节育环(补充病史:在陕北某医院一次放节育环二个),由于产后一直哺乳,故未来月经,现觉下腹膨隆,有胎动。曾分娩七次,均为顺产,现子女均健在。以往常有产后不来月经即怀孕史。体检:发育、营养良好,心肺及肝脾未发现异常,腹壁柔软,下腹膨隆,宫底于脐下二指,可摸到胎儿肢体,胎心音未闻及。妇产科检查,外阴为已产式,阴道光滑,宫颈外口光滑,双合诊检查:宫颈外口十二点处向后上方后穹窿部,距外口约3~+厘米处,可 We are facing the countryside, open the door to run the school, found at the grassroots teaching point IWB Shuanghuan outbound 1 case, due to the sparse rate, are reported as follows, to attract attention. Li × ×, female, 42 years old, Suide people, peasants, came to visit on April 14, 1975. Chief Complaint: Suspected of pregnancy, requiring induction of labor. Patients in the first five years ago after delivery, placement of intrauterine contraceptive ring (Supplementary medical history: a hospital in northern Shaanxi put a ring twice), because breastfeeding has been postpartum, so the future menstruation, abdomen is now feeling the abdomen, fetal movement. Had childbirth seven times, all of the abortion, abercrombie and fitch, are children alive. In the past, often not to postpartum menstruation that pregnancy history. Physical examination: development, good nutrition, heart and lung and liver and spleen found no abnormalities, abdominal wall soft, bulging lower abdomen, uterus at the end of the second refers to the umbilical, palpable fetal limb, fetal heart sound did not smell. Obstetrics and gynecology examination, the genitals have been produced, smooth vagina, cervix and mouth smooth, double joint examination: 12 points at the top of the cervix after the posterior fornix Department, about 3 ~ + cm away from the mouth, may be