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患者52岁,住院号3441。孕6产4,闭经3年,阴道不规则出血10个月,于1991年10月4日入院。1987年闭经,1990年12月开始阴道出血量较多伴血块,当时查阴道内有多量暗红色血。子宫颈光滑无肥大,宫体正常大小稍有触痛,双侧附件无异常。抗炎止血治疗7天,阴道流血仍较多,行诊刮术。宫腔长度8cm,刮出内膜组织约20g,病理回报为子宫内膜增殖,诊刮后阴道流血仍不止,即开始服复方18甲真基炔诺酮避孕药,每日4粒2天后血止。当减为每日3粒时又出现阴道流血,故一直未停药,每日4粒,连用
Patient 52 years old, hospital number 3441. Pregnancy 6 4, amenorrhea for 3 years, vaginal irregular bleeding for 10 months, on October 4, 1991 admission. Amenorrhea in 1987, beginning in December 1990 with more vaginal bleeding with blood clots, then check the vagina a large amount of dark red blood. Cervical smooth without hypertrophy, normal body size slightly tenderness, bilateral attachment without exception. Anti-inflammatory hemostatic treatment for 7 days, vaginal bleeding is still more, curettage surgery. Uterine cavity length 8cm, scraped out about 20g of endometrial tissue, the pathological return for the proliferation of endometrial, vaginal bleeding after the curettage is still more than that, that is, began to take the compound 18 A true norethisterone contraceptive pill, 4 days a day after 2 days of blood only. When reduced to 3 when the vaginal bleeding occurs again, it has not been discontinued, 4 capsules daily,