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患者,23岁,病历号9003596,因停经4个月,阴道流血1周于1998年6月14日入院。患者平时月经规律,结婚2年,第一次妊娠。 体格检查:体温36.8E,脉搏92次,呼吸22次,血压16/11kPa。轻度贫血貌,下腹膨隆,腹软,无压痛及反跳痛。产科情况:宫底平脐,宫体较软,末闻及胎心音。B超检查:子宫增大:18cm×16cm,子宫内无胎体回声,整个子宫内可见小蜂窝状无回声暗区。提示:葡萄胎。实验室检查:血红蛋白9.5g/L,白细胞13.6×109/L,红细胞3.68×10~(12)/L,血HCG54,临床诊断:葡萄胎。于当日下午给予静点催产素20单位行葡萄胎清宫术,吸出小水泡样组
Patient, 23 years old, medical record number 9003596, due to menopause 4 months, vaginal bleeding for 1 week on June 14, 1998 admission. Patients usually menstrual regularity, married 2 years, the first pregnancy. Physical examination: body temperature 36.8E, pulse 92 times, breathing 22 times, blood pressure 16 / 11kPa. Mild anemia appearance, abdominal bulging, abdominal soft, no tenderness and rebound tenderness. Obstetric situation: Umbilical flat uterine Palace is soft, the end of the smell and fetal heart sound. B-ultrasound: uterine enlargement: 18cm × 16cm, no intrauterine fetal echo, small honeycomb echoless dark area can be seen throughout the uterus. Tip: hydatidiform mole. Laboratory tests: hemoglobin 9.5g / L, white blood cells 13.6 × 109 / L, red blood cells 3.68 × 10 ~ (12) / L, blood HCG54, clinical diagnosis: hydatidiform mole. On the afternoon of the same day to give intravenous oxytocin 20 units of hydatidiform mole, aspiration blister-like group