About 1 case of abdominal pregnancy.docVIP

 PAGE \* MERGEFORMAT 5 About 1 case of abdominal pregnancy Keywords:] abdominal pregnancy; ectopic pregnancy 1 Case information Patients, aged 28, farmer, 35 +2 weeks due to menopause, abdominal pain, with dizziness, palpitation 30min in at 10:27 on March 16, 2009 hospitalized patients last menstrual period July 12, 2008, expected date of April 2009 19. postmenopausal no early reaction, early pregnancy without prenatal history 4 + months pregnant and feeling fetal movement since the 7 + months pregnant health in Wulong County Hospital for check-1, B-family members of patients v. normal pregnancy tips, but no reports third trimester of pregnancy without dizziness, vertigo, tinnitus history, 30min before the shopping after impact when the abdomen suddenly felt by others, abdominal pain, and a sense of dizziness, palpitation, and progressive increase, emergency admission. Patient G2P0, 5 years ago, abortion 1, then has not been pregnant, normal menstruation. Hospitalized search: 122 pulse / min, thin, breathing 32 times / min, blood pressure 84/44mmHg. Generally poor, trance, severe anemia appearance, abdominal bulge, for check: Temple High palpable unclear, no vaginal fluid, blood, fetal heart sound 110 times / min. auxiliary examination: B super biparietal diameter 9.3cm, amniotic fluid index of 5.3cm, the placenta attached to the lower house, the next cervical margin of cover inside the mouth. blood: Hb 61g / L, WBC 9.0 × 109 / L, PLT 388 × 109 / L. Admission diagnosis: intrauterine pregnancy G2P0 35 +2 weeks of live births; intraabdominal bleeding. the sexual condition after admission increased blood pressure 0 / 0, pulse palpable unclear, more bulging abdomen, ascites re-B ultrasonic examination, pelvic display normal size uterus, consider the fierce intra-abdominal hemorrhage due to unclear reasons may be surgical, emergency cesarean section surgery . intraoperative peritoneal see was purple and blue, cut retroperitoneal, see the placenta under the