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患者,35岁。因停经42天阴道不规则出血11天,于1995年3月28日来我院做B型超声检查。B超所见:子宫增大,宫内回声异常,水泡状变性,提示葡萄胎。患者平素健康,孕1产1,月经正常,足月分娩1女婴。血压14/10kPa,心肺正常。妇科检查:外阴、阴道正常,宫颈光滑着色,宫颈膨大,颈口12点处有一直径3.5cm紫红色组织物突出,蒂粗较紧,质地偏硬,宫体前位,偏大,活动。附件(-)。拟诊:(1)葡萄胎;(2)子宫粘膜下肌瘤。入院当天患者出现
Patient, 35 years old. Due to menopause 42 days irregular vaginal bleeding 11 days, March 28, 1995 to our hospital to do B-mode ultrasound. B seen: uterine enlargement, intrauterine echo abnormalities, blisters degeneration, suggesting hydatidiform mole. Patients usually healthy, pregnancy 1 1, normal menstruation, full-term delivery of a baby girl. Blood pressure 14 / 10kPa, cardiopulmonary health. Gynecological examination: normal vulva, vagina, cervical smooth coloring, cervical enlargement, neck 12 o’clock at a diameter of 3.5cm purple tissue prominent, pedunculated thicker, texture hard, the anterior palace, large, activities. annex(-). Diagnosed: (1) hydatidiform mole; (2) uterine submucosal fibroids. The patient appeared on the day of admission