Ectopic pregnancy 1 case of abdominal pregnancy.docVIP

 PAGE \* MERGEFORMAT 5 Ectopic pregnancy 1 case of abdominal pregnancy [Keywords:] Ultrasonography, prenatal, abdominal pregnancy, shock, hemorrhagic A medical record Pregnant women, 28 years old, menopause 40-3 weeks, abdominal pain one day on October 3, 2008 admission. Usually outside the hospital regularly for check-in, no abnormal findings. This routine prenatal ultrasound examination, the results showed: (1 single embryo , left occipital, fetal survival. (2 placenta previa was part of the state. (3 multi-parameter prediction, according to the equivalent of ultrasound 40 weeks pregnant. (4 fetal amniotic fluid around the edge of the dark zone see many substantive mass, the largest in the mother the right lateral abdominal wall, the size of about 130 mm × 67 mm × 160 mm, the inner reticular. suggested a cesarean section to find intra-abdominal conditions. then submitted the “production 1,40-3 weeks pregnant and 2 single live births, in part placenta previa, “free operating room. woman in the waist, epidural anesthesia profile production intraoperative laparotomy see there is blood in abdominal cavity, about 200 ml, and see above the abdomen with a large purple blue mass, the a small mass gap active bleeding, mass surface rich in blood vessels, and a large number of varicose veins, lower abdomen, such as fist see the uterus. considering pregnancy abdominal bleeding, which cross-matching of blood, double-tube fluid. and quickly cut out extended mass A live baby girl, weighing 2 900 g, 5 min Apgar score 10 points, 10 min Apgar score 10 points. fetal bleeding after delivery of about 2 000 ml, red blood cells that lose pressure 4 u. examination: the placenta and the mesentery, pelvis after wall adhesions. placental bleeding sub-surface activity, to blunt sharp separation of the placenta increases adhesion surface, stump suture to stop bleeding. After a successful check out the placenta placental separation surface oozing. investigations were conscious, B