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患者29岁,孕_2产_0。因停经2个月,无诱因下腹痛伴阴道流血1天,色暗红,约月经量。我院门诊诊断:早孕,先兆流产。B超检查:子宫增大,腔内见4.5cm×3.7cm妊娠囊,囊内见不规则强回声,未见心管搏动。当日行人工流产术,术中探宫腔深11cm,吸出绒毛组织约10克,手术顺利,出血不多,流产后阴道流血2天干净,量少,色暗红,无腹痛。流产后15天房事1次,20天后阴道开始大出血,色红,伴大血块,1次出血2000ml左右,腹痛不明显,在家中晕倒。村医生给打止血药针1支(药名不清)后流血量减少,于1998年6月22号晚11时收入院。急做血常规:白
The patient was 29 years old and was born _____. Due to menopause for 2 months, there was no cause of abdominal pain with vaginal bleeding for 1 day, dark red color, about the amount of menstruation. Our hospital diagnosis: early pregnancy, threatened abortion. B-ultrasonic examination: The uterus was enlarged, and the 4.5cm×3.7cm gestational sac was seen in the cavity. The sac showed irregularly strong echoes and no heartbeat was seen. On the same day, abortion was performed. During the operation, the uterine cavity depth was 11cm, and the villi was about 10g. The operation was smooth and the bleeding was not enough. The vaginal bleeding after abortion was clean for 2 days. The amount was small, the color was dark red, and there was no abdominal pain. 15 days after abortion intercourse 1 times, 20 days after the vagina began bleeding, color red, with large blood clots, 1 bleeding about 2000ml, abdominal pain is not obvious, fainted at home. After the village doctor gave a hemostatic injection needle (with unclear drug name), the amount of bleeding decreased and he was admitted to the hospital at 11 pm on June 22, 1998. Urgent blood routine: white