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分别位于双子宫腔的双胎妊娠非常罕见。本文报告1例26岁妇女,孕3,产2;因双胎妊娠足月临产入院。前二次妊娠在别处均于孕30周终止。本次双胎之第一胎儿以头位自然分娩,重2,400g,女性。Apgar评分生后1和5分钟各为8和10分。胎盘于35分钟后娩出,出血量估计为180ml。阴道检查发现阴道上部有一长约3 cm纵隔,先露头可触及,宫颈口开大3 cm。根据阴道纵隔和2个子宫颈,拟诊为双子宫同时妊娠。超声波检查证实有2个子宫腔,存在第二胎儿的右侧子宫有自发宫缩。
Twin pregnancies in the uterine cavity are rare. This article reports a 26-year-old woman, pregnant 3, 2; full-term pregnancy due to twin pregnancy admission. The first two pregnancies were terminated at 30 weeks of gestation elsewhere. The twins of the first fetus to the first natural birth, weight 2,400g, female. Apgar scoring 8 and 10 minutes after 1 and 5 minutes respectively. The placenta is delivered after 35 minutes, the amount of bleeding is estimated at 180ml. Vaginal examination found that the upper vagina has a length of about 3 cm mediastinal, outcrops can be touched, the cervix open large 3 cm. According to the vaginal mediastinum and 2 cervical, to be diagnosed as double uterus at the same time pregnancy. Ultrasound examination confirmed that there are 2 uterine cavity, there is a second fetus on the right uterus with spontaneous contractions.