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患者31岁,孕2产1,住院号14473.近3年月经不规则,末次月经1989年9月14日,停经后无早孕反应.1990年7月28日无诱因阴道流血,少于月经量,未经治疗3天后血止.因恶心、呕吐及腹部增大1个月于1990年9月20日入院.查体:T36.9℃.P86次/分,R18次/分,Bp17.3/120kPa,营养欠佳,体质消瘦,轻度贫血貌.心肺正常,肝脾未触及,下腹膨隆,宫底脐下二指.妇科检查:宫颈光滑,宫体约孕5个月大,双附件未见异常.辅助检查:WBC 9.5×10~9/L,Hb 95g/L.B 超所见:子宫增大,近宫底处见两个胎囊,囊内见胎儿,胎头光环分别为1.6cm 和1.4cm,并见胎心搏动及胎动,两胎囊下方见
Patient 31 years old, pregnancy 2 births 1, hospital number 14473. Irregular menstruation in the recent 3 years, the last menstrual period September 14, 1989, no early pregnancy response after menopause July 28, 1990 induced vaginal bleeding less than menstrual flow , 3 days after untreated blood only.Because of nausea, vomiting and abdominal enlargement 1 month admitted on September 20, 1990. Physical examination: T36.9 ℃ .P86 beats / min, R18 beats / min, Bp17.3 / 120kPa, poor nutrition, weight loss, mild anemia appearance .Half-lung normal, liver and spleen not touched, lower abdomen bulging, under the umbilical Palace two fingers .Gynecological examination: Cervical smooth, about 5 months pregnant Palace, double attachment Auxiliary examination: WBC 9.5 × 10 ~ 9 / L, Hb 95g / LB Super seen: the uterus increases, near the end of the palace to see two fetal sac, cysts see the fetus, fetal head aura respectively 1.6cm And 1.4cm, and see fetal heartbeat and fetal movement, see below the two fetal capsule