论文部分内容阅读
1病例报告患者女,28岁,孕1产0,孕34周。因超声检查提示“双胎,一胎存活,一胎胎死宫内”入院。个人史及家族史无异常。定期产检。入院时超声检查提示:宫内孕,双胎,双头位,两胎儿间可见分隔;一胎宫内死亡,双顶径46 mm,头围180 mm,腹围188mm,羊水38mm,双胎输血综合征(TTTS)不除外;一胎存活,双顶径76mm,头围290mm,腹围279mm,羊水59mm,脐动脉收缩压/舒张压(S/D)2.32。查体:体温36.9℃,脉搏84/min,血压130/90mmHg,呼吸20次/min。血常规、凝血五项、尿常规均无异常。产科检查:宫高32cm,腹围113cm,胎位头/头位,衔
A case report of female patients, 28 years old, 1 pregnant and 0 pregnant, 34 weeks pregnant. Ultrasound examination prompted “twins, a child survived, a fetus died of intrauterine” admission. Personal history and family history is normal. Regular inspection. Ultrasound examination on admission prompted: intrauterine pregnancy, twins, double head position, visible separation between the two fetuses; a fetal intrauterine death, biparietal diameter 46 mm, head circumference 180 mm, abdominal circumference 188mm, amniotic fluid 38mm, twin blood transfusions Syndrome (TTTS) is not excluded; one-fetus survival, biparietal diameter 76mm, head circumference 290mm, abdominal circumference 279mm, amniotic fluid 59mm, umbilical artery systolic blood pressure / diastolic blood pressure (S / D) 2.32. Physical examination: body temperature 36.9 ℃, pulse 84 / min, blood pressure 130 / 90mmHg, breathing 20 times / min. Blood, clotting five, no abnormal urine. Obstetric examination: Palace height 32cm, abdominal circumference 113cm, fetal head / head position, title