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患者女,24岁,G3P2,剖宫产2次。停经36d,因阴道大量流血3+h伴持续性下腹痛入院,估计出血量1 000ml,查血清β-HCG:40 933IU/ml,血红蛋白:68g/L。阴道彩超结果:子宫大小109mm×62mm×52mm,宫内膜11.3mm,宫壁回声不均质,宫腔下段可见孕囊样回声,大小20mm×20mm×15mm,未见明显卵黄囊,测值相当于43d,囊性回声部分位于子宫下段前壁切口处肌壁间,切口处肌
Female patient, 24 years old, G3P2, cesarean section twice. Menopause 36d, due to a large number of vaginal bleeding 3 + h with persistent lower abdominal pain hospitalization, estimated bleeding 1 000ml, check the serum β-HCG: 40 933IU / ml, hemoglobin: 68g / L. Vaginal ultrasound results: uterine size 109mm × 62mm × 52mm, endometrial 11.3mm, uterine wall echo is not homogeneous, the uterine segment visible gestational sac echo, the size of 20mm × 20mm × 15mm, no significant yolk sac, the measured value is quite In 43d, part of cystic echoes located in the anterior uterine incision in the muscle wall, incision muscle