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患者31岁,孕3产2,住院号C454070。因葡萄胎清宫术后8个月,咳血4个月,右侧肢体偏瘫17天,齿龈出血7天,于1990年12月13日急诊入院。该患于1990年4月1日因葡萄胎刮宫2次(未送病理),刮宫后随诊3个月hCG均高于正常,后失访。1990年9月出现咳嗽、咯血,色暗红,量不多,当地摄胸片见右肺不规则云片状阴影,按结核治疗。1990年11月28日突然右侧肢体偏瘫,语言障碍,按脑血栓治疗,症状略有好转。12月6日出现齿齦出血,12月8日突然两次大咯血,每次约100ml,伴胸闷憋气。经外院行脑CT检查发现颅内占位性病变转来我院。查体:T36.9℃,P92次/分,R27次/分,Bp13.7/7.8kPa。贫血貌,神志清,右侧颊及腭侧齿龈肿胀,可
Patient 31 years old, pregnant 3 3, hospital number C454070. Due to hydatidiform mole 8 months after surgery, 4 months of hemoptysis, 17 days of right limb paralysis, gum bleeding for 7 days, December 13, 1990 emergency admission. The suffering from April 1, 1990 due to mole curettage twice (not sent pathology), curettage follow-up 3 months hCG were higher than normal, lost after the visit. September 1990 cough, hemoptysis, color dark red, small amount of local chest radiograph seen irregular cloud-like shadow, according to tuberculosis treatment. November 28, 1990 suddenly the right hemiplegia limbs, speech impairment, cerebral thrombosis treatment, the symptoms improved slightly. Dec. 6 bleeding gums, December 8, two major massive hemoptysis, each about 100ml, with chest tightness, suffocation. The brain CT examination outside the hospital found intracranial space-occupying lesions transferred to our hospital. Physical examination: T36.9 ℃, P92 times / min, R27 times / min, Bp13.7 / 7.8kPa. Anemia appearance, clear consciousness, right cheek and palate side gingival swelling may be