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病历摘要王×,C140061,28岁,已婚来孕。因月经不规则、量多1年余,近1月余流血不止,于1978年2月2日由外地转来本院。既往月经规则。1976年8月结婚,10月开始月经不规则,20~+/40~+天,量多。1977年8月阴道大流血半个月,用乙菧酚及中药治疗曾一度好转,11月3日起又出血3月余,11月26日在当地诊刮,病理检查为“增殖期内膜,腺体增生过长。”1978年1月7日起又有阴道流血,虽经各种治疗,但仍未见效而来本院。发病后自学低热、多汗。查体仅发现皮肤、粘膜苍白及乳头旁毳毛增多。盆腔检查(一)。血红蛋白10.5克％。入院诊断为功能失调性子宫出血(简称功血)。入院后肌注苯甲酸雌二醇3～5毫克/日,止血无效。改肌注黄体酮20毫克/日及丙酸睾酮50毫克/日,共3天,辅以一般止血药。同时请血液组会诊除外了血液病。因恶心,查SGPT为525单位/升,凝血酶原时间及活动正常,给予保肝治疗。血hCG 3.4毫微克/毫升(本院妊娠正常值>30毫微克/
Medical records Wang ×, C140061, 28 years old, married to pregnancy. Due to irregular menstruation, the amount of more than 1 year, more than a month more than bleeding, on February 2, 1978 transferred to the hospital from the field. Past menstrual rules. August 1976 married, irregular menstruation began in October, 20 ~ + / 40 ~ + days, the amount of more. August 1977 vaginal bleeding half a month, with acetochlor and traditional Chinese medicine treatment was once improved, November 3 and more than three months after bleeding, November 26 in the local curettage, pathological examination as “proliferative endometrium , Gland hyperplasia too long. ”January 7, 1978 another vaginal bleeding, although after a variety of treatment, but still not effective from this hospital. After the onset of self-learning fever, sweating. Physical examination found only skin, mucous membrane pale and papillary hair increased. Pelvic examination (a). Hemoglobin 10.5g%. Admission diagnosis of dysfunctional uterine bleeding (referred to as dysfunctional uterine bleeding). After admission, intramuscular injection of estradiol benzoate 3 ~ 5 mg / day, hemostasis is invalid. Intramuscular injection of progesterone 20 mg / day and testosterone propionate 50 mg / day, a total of 3 days, supplemented by the general hemostatic. At the same time please blood group consultation except blood disease. Due to nausea, check SGPT for 525 units / liter, prothrombin time and normal activity, given liver treatment. Blood hCG 3.4 ng / ml (hospital normal pregnancy> 30 ng /