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患者女,30岁。停经37周,腹部迅速增大4个月,于1985年1月18日入院。末次月经84年5月2日,预产期85年2月9日。停经40天有早孕反应,停经4个半月有胎动,继之腹部迅速增大,伴腹痛,腹胀。一个月来腹部高度膨隆,呼吸困难,腹部胀痛难忍,不能平卧。患者既往健康,无腹部包块史。入院检查:T37.2℃,P92次/分,R28次/分,Bp140/90mmHg,发育正常,营养中等,强迫体位,腹部高度膨隆,未见肠型,肝脾难触清,无移动性浊音,肠鸣音正常。腹围168cm(孕前72cm),双膝关
Female patient, 30 years old. After 37 weeks of menopause, the abdomen increased rapidly for 4 months and was admitted on January 18, 1985. The last menstruation May 2, 84, the expected date of February 9, 85. 40 days after menopause early pregnancy reaction, menopause 4 and a half months have fetal movement, followed by rapid increase in the abdomen, with abdominal pain, abdominal distension. One month to bulge the abdomen, breathing difficulties, abdominal pain unbearable, can not lie down. Past patient’s health, no history of abdominal mass. Admission examination: T37.2 ℃, P92 beats / min, R28 beats / min, Bp140 / 90mmHg, normal development, moderate nutrition, forced position, abdomen bulge, no intestinal type, liver and spleen touch clear, , Bowel sounds normal. Abdominal circumference 168cm (72cm before pregnancy), knees off