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对我院近年来收治的3例绒癌破裂出血误诊病例作回顾性分析,为吸取经验教训,现报告如下。病例1:患者,女,24岁,农民。因不规则阴道流血2个月,突发腹痛1天,于2010年10月3日10∶30急症入院。该患者于2个月前开始出现阴道流血,量时多时少,无明显腰腹痛。8年前曾患侵蚀性葡萄胎行吸宫术和化疗,于2008年曾育一女。查体:T36.8℃,P98次/min,R22次/min,BP14/10kPa,心肺听诊无异常,腹软,下腹压痛反跳痛,无移动浊音。妇科检查:外阴(-),阴道血迹,宫颈光滑,举痛,内有血液
In our hospital in recent years, 3 cases of choriocarcinoma ruptured patients misdiagnosed for retrospective analysis, in order to learn from the experience, are as follows. Case 1: Patient, female, 24 years old, farmer. Due to irregular vaginal bleeding for 2 months, sudden abdominal pain for 1 day, at 10:30 on October 3, 2010 emergency admission. The patient began vaginal bleeding 2 months ago, the amount of time less, no significant abdominal pain. 8 years ago suffering from invasive hydatidiform mole and chemotherapy, in 2008 had a daughter. Physical examination: T36.8 ℃, P98 times / min, R22 times / min, BP14 / 10kPa, cardiopulmonary auscultation no abnormalities, abdominal soft, abdominal tenderness rebound pain, no moving dullness. Gynecological examination: vulva (-), vaginal blood, cervical smooth, pain, there is blood