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患者27岁,因停经38周~(+4),腹腔巨大囊性肿物2个月余于1996年1月17日入院。患者平素月经规则,末次月经:1995年4月22日,预产期:1996年1月29日。曾于孕6个月时来院行产前检查做B超提示妊娠并发腹腔巨大囊性肿物,无不适感觉。于1996年1月17日再次做B超提示胎儿双侧径8.9cm,胎盘近Ⅲ级,羊水5.0cm,腹腔巨大囊性肿物,同2个月前比较无明显增大,并入院。 体格检查:T 36.6℃,P 80次/min,R 20次/min,Bp 14/10hPa,一般状态良好,心肺理诊正常,腹膨隆,上腹较明显,于上腹部可触及一巨大囊性肿物,上界达剑下,下界于宫底,左右达两侧腹壁,表面光滑,张力不大,活动欠佳,无压痛,宫底脐上三横指,胎心音140次/min。血常规:WBC 6.8×10~9/L,Hb
The patient, 27 years old, was hospitalized for a period of 38 weeks (+4) for menopause, with a giant cystic mass in the abdominal cavity more than 2 months after January 17, 1996. Patients usually menstrual rules, the last menstruation: April 22, 1995, expected date: January 29, 1996. Had pregnant at 6 months to the hospital for prenatal examination to do B ultrasound prompt pregnancy complicated by huge abdominal cystic mass, no discomfort. On January 17, 1996 again to do B-ultrasound prompted fetal bilateral diameter 8.9cm, placenta nearly Ⅲ grade, amniotic fluid 5.0cm, abdominal huge cystic mass, no significant increase compared with 2 months ago, and admitted to hospital. Physical examination: T 36.6 ℃, P 80 beats / min, R 20 beats / min, Bp 14 / 10hPa, the general state of good physical and mental health of the normal abdominal bulging, the more obvious on the abdomen, in the upper abdomen can reach a huge cystic Tumor, the upper boundary of the sword, the lower bound at the palace floor, about both sides of the abdominal wall, the surface smooth, tension is not big, poor activity, no tenderness, Uterine Palace on the three cross refers to fetal heart sound 140 times / min. Blood: WBC 6.8 × 10 ~ 9 / L, Hb