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患者女,31岁,婚后3年不孕,既往月经正常。近一年无月经。一月前曾做过诊断性刮宫。无结核史。 妇科检查:子宫后位。发育较小,不活动,双侧附件增厚并有结节。 印象诊断:子宫输卵管结核 该患者于1993年10月15日行子宫输卵管碘油造影检查,造影按常规进行,注碘油均为6ml,子宫充盈较小呈双角子宫并周围有细网点状碘油影,左右卵管显影,透视见造影剂分散入子宫周围静脉24小时后病人有轻微胸闷感,但无咳嗽、咳血及其它不适。子宫拍片官内碘油排除,但周围仍有少许网点状碘油残角,卵管内磺油呈串珠样,双侧卵管不通。胸片双肺散在分布细小砂粒状致密影以右中心肺为多。此为碘油进入血循环双肺播散所致。
Female patient, 31 years old, infertility 3 years after marriage, previous normal menstruation. Nearly a year without menstruation. A month ago had a diagnostic curettage. No history of tuberculosis. Gynecological examination: posterior uterus. Smaller, less active, thickening of bilateral attachments and nodules. Imaging diagnosis: tubal tubal tuberculosis This patient on October 15, 1993 underwent hysterosalpingography, routine angiography, lipiodol are 6ml, uterine filling was smaller in the horny uterus and fine dotted around the iodine Oil shadow, left and right oviduct development, fluoroscopy See contrast agent dispersed into the uterine peripheral vein 24 hours after the patient had a slight chest feeling, but no cough, hemoptysis and other discomfort. Uterine film officer inside the iodine oil to exclude, but there is still a little dot around the lipiodol residual horn, ovule was like bezoar oil, bilateral ovarian barrier. Chest radiograph of scattered lungs scattered sand compact dense center of the right lung as much. This is due to iodized oil into the blood circulation caused by two lungs.