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患者26岁,农民。孕3产1,曾人流2次。末次月经1991年11月17日,停经40天后突然阴道大出血,经当地医院治疗后阴道流血减少,但仍出血不止,因阴道淋漓不断流血而行清宫术。在探子宫腔时又引起大出血,立即压迫宫颈止血,于1992年1月7日急诊入院。妇检:阴道内有血性分泌物,宫颈明显增大,宫口扩张松软,可容两指。子宫大小和硬度正常,双侧附件(一),B超显示宫颈管内有3.5cm实质性回声。尿妊娠试验阳性。入
Patient 26 years old, farmer. Pregnancy 3 1, had flow 2 times. The last menstrual November 17, 1991, 40 days after menopause sudden vaginal bleeding, vaginal bleeding after treatment by a local hospital to reduce, but still more than bleeding, vaginal dripping due to continuous curettage curettage. In the probe when the uterine cavity caused by bleeding, immediately oppression cervix to stop bleeding, in January 7, 1992 emergency admission. Gynecological examination: vaginal bloody discharge, cervix increased significantly, cervix expansion soft, can accommodate two fingers. Uterine size and hardness of normal, bilateral attachments (a), B ultrasound showed cervical 3.5cm substantial echo. Urine pregnancy test is positive. Into