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1病例资料患者,女,33岁,因“孕35+2周,瘢痕子宫,双胎,发现一胎儿胎死宫内半天”于2013年11月29日入院。患者平素月经周期较规则,5/30 d,量中,痛经(-)。末次月经2013年3月27日,预产期2014年1月4日。此次妊娠为自然受孕,孕期无正规产前检查。因孕35+2周来院产检,B超提示:“双胎晚孕,左侧胎儿未见胎心及胎动,头位,双顶径(biparietal diameter,BPD)57mm,颅骨环塌陷,胎儿腹腔内结构紊乱,未见胎心及胎动。右侧胎儿头位,脐带绕颈1圈,BPD 93mm,脑线居中,双侧脑室左右对称,脊柱排列正常,呈念珠状,股骨长68 mm,
1 Case data Patients, female, 33 years old, due to ”35 weeks pregnant + 2 weeks, scar uterus, twins, found one fetus fetal intrauterine half day “ on November 29, 2013 admission. Patients usually menstrual cycle more regular, 5/30 d, volume, dysmenorrhea (-). The last menstruation March 27, 2013, the expected date of January 4, 2014. The pregnancy is a natural pregnancy, pregnancy without regular prenatal care. Because of pregnancy 35 +2 weeks to hospital check-ups, B-Tip: ”Twins late pregnancy, fetal fetus and fetal movement in the left fetus, head position, biparietal diameter (BPD) 57mm, skull ring collapse, fetal abdominal cavity The internal structure of the disorder, no fetal heart rate and fetal movement .Fetal head position, the umbilical cord around the neck 1 circle, BPD 93mm, brain center, symmetrical bilateral ventricles, spinal alignment was normal, beads, femur 68mm,