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患者24岁,住院号89-4514,以妊娠39周,自觉无胎动2天入院.产科检查宫高、腹围均正常,胎心108次/分.孕2产1.用EUB-40 B 超仪探查,胎头位于宫腔下部,双顶径8.4cm,胎心率120次/分,胎儿心脏各房室腔均较正常增大,多切面探查未见房间隔影像.在心包腔内可见带状无回声液性暗区,舒张期液性暗区直径为0.3cm.腹部探查见腹腔内有无回声暗区,直径为2cm.胎盘位于宫底后壁,明显增厚,为7.3cm,羊水量少,深度2.6cm.第二天凌晨产妇娩出一男死婴.死婴腹部膨隆,呈蛙腹状.尸检腹围39cm,胸围33.5cm,腹腔内有草黄色液体约600ml,胸腔内有少量液体,左右肺叶呈实性,未膨胀.心脏呈球形增大并占据左右胸腔,心包内有草黄色液体约30ml,由心底部将心房壁切开,见左右心房贯通,未见房间隔,两心室增大,血管及瓣膜均正常.
24-year-old patient, hospital number 89-4514 to 39 weeks of pregnancy, consciously without fetal movement 2 days admitted to the hospital. Obstetric examination Palace high, abdominal circumference were normal, fetal heart rate 108 beats / min. Instrument exploration, the fetal head is located in the lower part of the uterine cavity, biparietal diameter 8.4cm, fetal heart rate 120 beats / min, fetal heart chamber atrioventricular normal than normal, multiple section exploration no atrial septal image seen in the pericardial cavity visible Ribbon anechoic dark area, diastolic liquid dark area diameter of 0.3cm. Abdominal exploration to see the intra-abdominal echo dark area with a diameter of 2cm. The placenta is located in the posterior wall of the uterus, significantly thicker, 7.3cm, Amniotic fluid less, the depth of 2.6cm. The next morning the mother gave birth to a male infant baby. Infant swollen belly bulging, was frog abdominal. Autopsy abdominal circumference 39cm, chest circumference 33.5cm, abdomen with grass-yellow liquid about 600ml, a small amount in the chest Liquid, the left and right lobes were solid, not inflated. The heart was spherical and occupy the left and right chest, the bag of grass-yellow liquid about 30ml, from the bottom of the heart atrial wall incision, see around the atrium, no atrial septum, two Ventricular enlargement, blood vessels and valves are normal.