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患者韩×× 29岁,蒙古族,住院号27298、该患者末次月经1985年5月22日,停经约6周自觉恶心、头晕、嗜睡而求医。晨尿乳胶凝集试验呈阳性。诊断早孕,孕9周头疼加重,双下肢浮肿,服药无效。近5天阴道流血,呈暗红色。量如月经,未见水泡样组织。于1985年8月3日拟诊葡萄胎入院。体检:血压140/110mmHg,脉搏、体温、呼吸、心肺检查及胸部透视均未见异常改变。耻骨联合上方可触及较软宫体组织,宫底达脐耻之间,外阴正常,阴道粘膜及宫颈着色。双合诊宫体如孕14周大小,未触到卵巢黄素囊肿。“B”型超声检查,提示为葡萄胎。8月5日行钳刮术,宫腔深12厘米,刮出水泡样组织约250克,术中出血约150毫升。术后病理检查报告支持临床诊断。1周后行二次清宫,12天出院。出院后2个月尿乳胶凝集试验转阴,现健康情况良好。
Patient Han × × 29 years old, Mongolian, hospital number 27298, the patient’s last menstrual May 22, 1985, menopause about 6 weeks nausea, dizziness, lethargy and seek medical advice. Morning urine latex agglutination test was positive. Diagnosis of early pregnancy, 9 weeks pregnant headache worsened, lower extremity edema, medication ineffective. Vaginal bleeding in the past 5 days, dark red. Amount of menstruation, no blister-like tissue. On August 3, 1985 to be diagnosed hydatidiform mole admission. Physical examination: blood pressure 140 / 110mmHg, pulse, temperature, respiration, cardiopulmonary examination and chest fluoroscopy showed no abnormal changes. Above the pubic symphysis can reach the soft body of the Palace, palace umbilical shame, normal vulva, vaginal mucosa and cervical coloration. Double Clinic Palace, such as 14 weeks pregnant size, did not touch the ovarian flavin cyst. “B” type ultrasound examination, suggesting that hydatidiform mole. August 5 line clamp curettage, uterine cavity depth 12 cm, blister-like tissue scraped about 250 grams, about 150 ml of bleeding during surgery. Postoperative pathology reports support clinical diagnosis. 1 week after the second curettage, 12 days discharged. Two months after discharge urine latex agglutination test turned negative, is in good health.