Rudimentary horn pregnancy 1 case of incomplete rupture.docVIP

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2017-05-05 发布于浙江
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Rudimentary horn pregnancy 1 case of incomplete rupture.doc

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Rudimentary horn pregnancy 1 case of incomplete rupture

Rudimentary horn pregnancy 1 case of incomplete rupture [Keywords:] pregnancy, ectopic, rudimentary uterine horn, uterine rupture is not completely A medical record Patients, female, 25 years old, G1P0. Due to menopause, 23 + 2 weeks, abdominal pain 1 + days of continuous hospitalization. Menstrual regularity in patients with 4 to 5 days / 30 days, married 1 year, no flow induction of labor history, natural conception. Pregestational not ultrasound examination 45 days after stopping the local hospital ultrasound showed intrauterine pregnancy, early pregnancy. Shangshun Li .20 days ago after pregnancy abdominal pain lasted about half a day getting their own ease. Zuoqi no incentive under the abdominal pain persisted, the local Hospital to consider abortion, miscarriage be treated poorly, ultrasound examination showed BPD 6.0 cm, the uterus 7.8 cm × 6.9 cm × 5 cm, the thickness of 0.7 cm, the uterus and the fetus can echo the upper right, the surrounding thick 0.3 cm muscle wrapping, consider the rudimentary uterine horn pregnancy possible. To further confirm the diagnosis transferred to our hospital. the course of disease without nausea and vomiting, no dizziness, palpitation, no diarrhea and fever. examination: T 36.7 ℃, P 86 times / min, R 19 times / min, BP 90/60 mm Hg, abdominal bulge, mild abdominal tenderness in the right, and rebound tenderness without muscular tension. obstetric examination: house high 26 cm, does not touch contractions, fetal heart rate 154 times / min. review the ultrasound showed the uterus 7.6 cm × 6.6 cm × 6.2 cm, myometrial echo uneven, the thickness of 0.7 cm, the right fundus exploration and fetal echo. BPD 6.1 cm, FL 4.5 cm. fetal heart rate 145 times / min, the right side of the placenta near the wall of the uterus, placenta 0, 4.0, amniotic fluid, fetal echo around the uterine wall see a similar, thick at about 0.9 cm, thin at about 0.3 cm, wall smooth, the lower edge of the right end is connected with the palace, mid-sing