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患者女,24岁,住院号183896。末次月经1981年3月29日,孕35周,以双阴道、双宫颈,双子宫妊娠之诊断于1981年12月3日入院。预产期1982年1月6日。体检:发育正常,腹部向两侧膨隆,腹围95cm,右宫底高32cm,胎位为右枕前,胎头浮,胎心率148次/分,左宫底高30cm,左枕前位,胎头入盆,胎心率132次/分。B超检查及腹部X线片符合临床诊断。于1981年12月6日出现宫缩,翌日两侧子宫阵缩规律,肛查左侧宫口开大一指尖,先露位棘上1cm,决定在局麻下行剖宫产术。术中见左右子宫分别向两侧旋转45°,因右胎头高浮,子宫下段形成不良,做右侧子宫中下段纵切口,取出一女活婴。左侧也予纵切口,取出一男活婴。常规缝合两个子宫壁。术中见从子宫底部到峡部有3×1.3cm纵形韧带,将两个子宫联接。男女婴体重均为2400g,一周岁时随访,两孩子发育良好。
Female patient, 24 years old, hospital number 183896. The last menstrual March 29, 1981, 35 weeks pregnant to double vagina, double cervix, double uterus pregnancy diagnosis in December 3, 1981 admission. The expected date of January 6, 1982. Physical examination: normal development, the abdomen bulging to both sides, abdominal circumference 95cm, the right palace at the end of high 32cm, the fetal position for the right occipital, fetal head floating, fetal heart rate 148 beats / min, Fetal head into the basin, fetal heart rate 132 beats / min. B-ultrasound and abdominal X-ray film in line with clinical diagnosis. On December 6, 1981 appeared contractions, the next day on both sides of the uterine contraction law, the anal examination of the left cervix open a fingertip, the first spine on the spine 1cm, decided to under local anesthesia cesarean section. Surgery, see the left and right uterus were rotated 45 ° to both sides, due to the right fetal head floating, the lower part of the uterus to form a bad, so the right lower uterine longitudinal incision, remove a female live baby. To the left longitudinal incision, remove a male living baby. Suture the two uterine walls routinely. Intraoperative see from the bottom of the uterus to the isthmus 3 × 1.3cm vertical ligament, the two uterine joints. Baby boys and girls weighing 2400g, one year old were followed up, the two children developed well.