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本文报道1例蜿蜒状子宫动脉瘤,引起严重致命的出血。作者强调,应用血管造影术确诊的重要性。患者23岁,第一胎,孕22周因阴道流血于1973年4月入院,伴先兆子癎(血压170/110毫米汞柱,尿蛋白艹)。排出泡状胎块1.8公斤后,行刮宫术。6周后,再次阴道大出血,此时子宫如孕12周大小,双侧卵巢囊性增大。输血后,于右宫角刮出残留胎块。测定24小时绒毛促性腺激素(HCG)排出量为5200国际单位,15周后恢复正常。同年8月,月经恢复正常,此后服Microgynon-30避孕17个
This article reports a case of meandering uterine aneurysms, causing severe and fatal bleeding. The authors emphasize the importance of using angiography for diagnosis. The patient, 23 years old, the first child, was pregnant at 22 weeks due to vaginal bleeding admitted to hospital in April 1973 with preeclampsia (blood pressure 170/110 mmHg, urinary protein 艹). 1.8 kg foam discharged after the block, line curettage. After 6 weeks, vaginal bleeding again, when the uterus, such as 12 weeks pregnant size, bilateral ovarian cystic increased. After blood transfusion, the remnant block is scraped off at the right temple. Determination of 24 hours villus gonadotropin (HCG) discharge of 5200 international units, returned to normal after 15 weeks. In the same year in August, menstruation returned to normal, then serving Microgynon-30 contraception 17