Intrauterine pregnancy ectopic pregnancy 30 weeks combined 7 + months in 1 case.docVIP

 PAGE \* MERGEFORMAT 6 Intrauterine pregnancy ectopic pregnancy 30 weeks combined 7 + months in 1 case [Keywords:] pregnancy; ectopic A medical record Patients, 23 years old, G1P1, because at home premature a baby boy 33 h, abdominal pain, fever 5 h at 27 January 2009 admission. Usually menstrual regularity, the last menstrual period: July 1, 2008. Stop by 40 days there was a slight early pregnancy reaction, 4 more than a month of pregnancy feeling fetal movement, five more than a month of pregnancy a double leg edema, after the break does not go away In 2009 January 21 ultrasound at our hospital prompted to do, “twin”, at 0:00 on January 26th, 2009 paroxysmal cough, abdominal pain due to colds, natural childbirth at home at 1 am early births, low cries of the weak, survived a few hours of death. placental complete expulsion of fetal membranes, vaginal bleeding more than .1 27 afternoon persistent pain again 5 h with fever admitted to hospital. Physical examination: T 38.2 ℃, P 96 times / min, BP 110/80 mm Hg, the general situation is still good, mild anemia appearance, conscious, heart and lungs normal, right side of the abdomen bulging, palpable and about 7 months pregnant and the size of the mass, tenderness, fetal position, fetal heart rate is unclear. left empty stomach, abdominal wall soft, no shifting dullness. gynecological examination: Ⅰ degree perineal laceration, rip fresh, vaginal patency, with a small amount of blood product , no smell, soft cervix, can accommodate two fingers loose, umbilical fundus between shame, no tenderness, a palpable upper right Palace about 7 months pregnant and the size of the mass, tenderness, active poor. sonography: postnatal uterus 14 cm × 12 cm. uterine mass within the top right of exploration and reflection of a fetus, fetal head biparietal diameter of 6.8 cm, fetal heart beat is good, the placenta shows dark areas of amniotic fluid disappeared. Laboratory tests: Hb 90 g / L, WBC 16.2 × 109 / L, N 0.86, L 0.