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本文报道首医1947～1975年收治的8例宫内妊娠并发绒癌。本病主要症状为咳血或阴道出血,5例曾误诊为肺结核或前置胎盘。手术配合化疗对本病有效。本组8例最早出现症状时间为孕20周,余均于中晚妊娠时发病。早期诊断是改善预后关键,对可疑者应进一步检查。治疗原则:对有阴道转移或胎儿不能及时娩出者宜行剖宫取胎,子宫切除宜在化疗一时期后,但本组4例均于剖宫取胎同时切除子宫,然后进行化疗,目前4例均健在,表明此法
This article reports the first doctor from 1947 to 1975 admitted 8 cases of uterine pregnancy complicated with choriocarcinoma. The main symptoms of this disease are hemoptysis or vaginal bleeding, 5 cases have been misdiagnosed as tuberculosis or placenta previa. Surgery with chemotherapy for the disease effective. The group of 8 cases of the earliest symptom onset of pregnancy for 20 weeks, the remaining were in late pregnancy onset. Early diagnosis is the key to improving prognosis, the suspect should be further examined. Treatment principles: vaginal metastasis or timely delivery of the fetus should take cesarean fetus, uterine resection should be a period of chemotherapy, but in this group of 4 patients were removed at the same time in the womb removed the uterus, and then chemotherapy, at present 4 Cases are healthy, indicating that this method