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我科于1983年在住院分娩产妇中,发现一例阴道、肛门、尿道口畸形病例。因属罕见,报告如下: 张某,女性,29岁,病志号5283。于1983年6月28日因妊娠足月来科分娩。妊娠期一直无不适感。孕4个月觉胎动,孕5个月双下肢轻度浮肿。入院前日18时出现腹痛,并见红。查体:一般状态好,发育正常,营养中等,神志清醒。血压110/70。头、颈、心、肺未见异常;妊娠足月腹型,儿头下方,胎心佳;有规律性宫缩;宫口开大三指。因畸形而行剖腹产术,术中、术后经过良好,母婴均正常。于7月21日出院。妇科检查:外阴发育明显异常:正常肛门位置无肛门;会阴左侧近阴道口处凹陷,表面皮肤有色素沉着;肛门开口于阴道口内、位于阴道后壁下段,略
Our department in 1983 in hospital delivery mother, found a case of vaginal, anal, urethral deformity cases. Because of rare, the report is as follows: Zhang, female, 29 years old, disease 5283. On June 28, 1983 due to full-term pregnancy to Section delivery. Pregnancy has been no discomfort. Pregnancy 4 months to feel fetal movement, 5 months pregnant double lower extremity mild edema. On the day before admission, abdominal pain occurred at 18:00 and see red. Physical examination: the general state of good, normal development, moderate nutrition, conscious. Blood pressure 110/70. Head, neck, heart, lung no abnormalities; pregnancy full-term abdominal, head below the fetal heart good; regular contractions; Due to deformity and Caesarean section, intraoperative and postoperative well, maternal and child are normal. Discharged on July 21. Gynecological examination: vulvar development was abnormal: normal anus without anus; perineal left near the vagina mouth depression, the surface of the skin pigmentation; anal opening in the vaginal opening, located in the lower posterior wall of the vagina, slightly