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我院1985年7月,诊治一例妊娠5个月合并巨大卵巢肿瘤,现报道如下。患者22岁,住院号3571。因闭经5个月,腹部增长迅速且明显大于妊娠月份,于7月17日来院就医,门诊以“胎儿畸形”、“羊水过多症”收入院。检查:腹部高度膨隆,剑突下至耻骨联合弧形距离长达46cm。在脐下偏左侧可触及子宫轮廓,胎体触不清,听不到胎心音,子宫底脐下2横指。在脐右侧可触及震水冲击感。辅助检查:行腹穿时,于脐左下方抽出澄清液体20ml,pH8,为羊水。在脐右上方抽出白色粘液性物质5ml。X线腹部摄片诊断为“胎儿畸形?”,B超探查:在左下腹部探到子宫内圆形胎头光环,胎头双顶径5.3cm,胎动胎心良好,未见胎儿畸形,羊水5.5cm。腹腔内,从剑突下至右下腹及宫底上方可见
Our hospital in July 1985, diagnosis and treatment of a case of 5 months of pregnancy with huge ovarian tumor are reported below. Patient 22 years old, hospital number 3571. Due to amenorrhea for 5 months, the abdomen grew rapidly and significantly more than the month of pregnancy, and came to the hospital on July 17 for medical treatment. The outpatient department was admitted to the hospital with “fetal malformation” and “polyhydramnios”. Check: bulging abdomen, xiphoid pubic symphysis distance up to 46cm. Off the left side of the umbilicus can touch the uterus contour, carcass palpable, can not hear the fetal heart sound, uterus at the bottom of the umbilical 2 horizontal. On the right side of the umbilical touch shock shock. Auxiliary examination: line abdominal wear, the lower left umbilical extract clear liquid 20ml, pH8, amniotic fluid. In the upper right umbilical extract white mucus 5ml. X-ray abdominal imaging diagnosis of “fetal malformation?”, B-probe: exploration in the left lower abdomen intrauterine circular fetal head aura, fetal head biparietal diameter 5.3cm, fetal heart rate fetal heart rate good, no fetal malformations, amniotic fluid 5.5 cm. Intraperitoneal, from the xiphoid to the right lower quadrant and above the bottom of the palace can be seen