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患者,21岁,因停经3个月,行两次药物流产失败,腹痛5日,于1996年7月19日以“双子宫”、“左侧子宫孕14周”收入院。既往月经规律,末次月经1996年4月10日,停经后无任何早孕反应,停经40余天于当地医院经检查诊断为早孕,口服米非司酮150mg加米索前列醇片600μg,阴道无流血,未见绒毛组织排出。43天后再次于当地医院口服米非司酮150mg加卡孕栓1mg阴道后穹窿置入,亦失败。近5日自觉腹痛,无阴道流血。入院后查体正常。B超提示:可探及双子宫,于左侧子宫内探及胎儿双顶径2.6cm。妇科检查:子宫左侧饱满,于耻骨联合上
The patient, 21 years of age, had her two unsuccessful medical abortions due to menopause for 3 months. She had abdominal pain for 5 days and was admitted to the hospital on July 19, 1996 with “double uterus” and “left uterus 14 weeks”. Past menstrual regularity, the last menstrual April 10, 1996, after menopause without any early pregnancy reaction, menopause more than 40 days at the local hospital diagnosed as early pregnancy, oral mifepristone 150mg plus misoprostol 600μg, vaginal bleeding, No villus tissue discharge. After 43 days again in the local hospital oral mifepristone 150mg plus card pregnant suppository 1mg vaginal fornix into, also failed. Nearly 5 days conscious abdominal pain, no vaginal bleeding. After admission, physical examination. B-Tip: You can explore and double uterus, exploration in the left uterus and fetus biparietal diameter 2.6cm. Gynecological examination: full on the left side of the uterus, on the pubic symphysis