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患者25岁,因妊娠16周,阴道出血1个月,下腹痛10 d余于2006年9月30日入院。患者婚后2年不孕,17岁时曾患淋巴结核。外院检查为双侧输卵管不通,子宫后位,并经阴道穿刺取卵,行体外受精-胚胎移植辅助生育,移植后29 dB 超提示宫内妊娠,可见胎心搏动。妊娠12周始阴道少量出血,行保胎治疗,妊娠14周出现下腹阵发性疼痛,反复阴道流血,入院前5 d,外院 B 超报告为胎盘覆盖子宫内口,以先兆流产,胎盘前置状态收入外院,住院期间反复阴道出血,自排小便困难,后转入我院。入院检查:一般情况尚可,轻度贫血貌,心率120次。产科检查:耻骨联合上一指可触及宫体,偶有宫缩,子宫无压痛,阴道出血少于月经量。B 超检查
Patients 25 years of age, 16 weeks of pregnancy, vaginal bleeding for 1 month, lower abdominal pain more than 10 d in September 30, 2006 admission. 2 years after marriage infertility patients, 17 years old had lymph node tuberculosis. Outside the hospital for bilateral tubal barrier, uterine posterior, and by vaginal puncture ovulation, line fertilization - embryo transfer assisted reproduction, transplanted after 29 dB prompted intrauterine pregnancy, we can see fetal heart rate. 12 weeks of gestation, a small amount of vaginal bleeding, the line of miscarriage treatment, pregnancy 14 weeks of lower abdomen paroxysmal pain, vaginal bleeding repeatedly, 5 days before admission, outside the hospital B-report of the placenta covering the uterus, with threatened abortion, placenta previa State income outside the hospital, repeated vaginal bleeding during hospitalization, since the row of urine problems, then transferred to our hospital. Admission examination: the general situation is acceptable, mild anemia, heart rate 120 times. Obstetric examination: the pubic symphysis can be touched on the last refers to the palace, occasionally contractions, uterus no tenderness, vaginal bleeding less than menstrual flow. B-ultrasound