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患者,女,49岁。停经3个月出现恶心、择食、全身无力等反应,近4个月来阴道出血淋漓不断,最少,伴下腹坠痛。患者既往体健,末次生产16年前,末次流产2年前。检查:下腹包块耻上居中,上界脐下2指,囊性感。妇科检查:阴道内有少许血性分泌物,宫颈着色,子宫增大如孕20周大小,左侧宫旁饱满,压疼明显,活动受限。化验尿妊娠试验阳性,B超提示宫内葡萄胎。于入院第3天行清官术,术中探宫腔深12cm,刮出物约30g,未见水泡状组织,病理汇报为:分泌期
Patient, female, 49 years old. 3 months after menopause, nausea, choice of food, weakness and other reactions, vaginal bleeding nearly 4 months dripping, at least, with abdominal pain. Past patient health, the last production 16 years ago, the last abortion 2 years ago. Check: lower abdominal mass shame on the middle of the upper border under the umbilical 2 fingers, cystic sexy. Gynecological examination: a little bloody vaginal discharge, cervical coloring, uterine enlargement such as 20 weeks pregnant size, left side of the uterus full, pressure pain was obvious, limited activities. Laboratory urine test positive, B-prompt intrauterine hydatidiform mole. On the 3rd day of admission, the procedure was cleared and the depth of the uterine cavity was measured to be 12 cm and the effusate was about 30 g. No blister-like tissue was found, and the pathology was reported as secretory phase