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医生甲:综合患者病史及检查所见,考虑为盆腔内的肿瘤,从广义上讲,我认为是恰当的。当地医生诊断早期妊娠,也不是没有依据。在任何情况下,遇有生育年龄的妇女,有停经及早孕症状时,应首先考虑到妊娠的可能。该患者子宫大小与停经月份大致相符,更应想到妊娠的可能性。但是我们详细询问病史就会发现患者已年近50岁,未采取任何避孕措施,13年未孕,近1年多月经已不规律,而且停经后又无早孕症状。双合诊检查,宫体虽增大但较硬,并突向一侧,表面凸凹不平。尿妊娠试验阴性,而且入院时探查宫腔只有8厘米。这一切证明不是妊娠。
Doctors A: Based on the history of patients and examinations seen, consider pelvic tumors, in a broad sense, I think it is appropriate. Local doctors diagnose early pregnancy, nor is there no basis. In any case, women of childbearing age, menopause and early pregnancy symptoms, should first consider the possibility of pregnancy. The patient’s uterus roughly the same size as menopause, but should also think of the possibility of pregnancy. However, we asked in detail about the history will find that patients are nearly 50 years of age, did not take any contraception, 13-year-old pregnant, irregular menstruation nearly 1 year, and no symptoms of early pregnancy after menopause. Double check-up examination, although the Palace increased but harder, and protruding to one side, the surface rugged. Urinary pregnancy test negative, but also to investigate the admission of the uterine cavity only 8 cm. All this proves not to be pregnancy.