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患者葛××,25岁,农民,汉族。妊2产2,末次足月产后两年半。因胸痛、略血、阴道出血半年;头痛、呕吐一个月。于1977年5月18日入院。查体:血压155/90毫米汞柱,心、肺、肝、脾无阳性体征;神经系统检查有双视神经乳头水肿,无定位体征;妇科检查,子宫如妊娠七周大,软,活动欠佳,子宫右角处可触到黄豆大软性结节;胸片两肺有多个大小不等的转移瘤,大者5×6厘米;雄蛙妊娠试验原尿阳性;肝功能、血、尿常规正常。入院当天下午突然意识不清,抽搐一次,右侧 Babinski 氏征阳性、颈强阳性、脑压335毫米水柱、脑脊液蛋白定量30毫克%。诊断为绒癌晚期,子宫、肺(ⅢB期)及脑转移。
Patient XX, 25 years old, peasant, Han nationality. Pregnant 2 2, the last full two and a half years after full-term. Due to chest pain, blood, vaginal bleeding for six months; headache, vomiting for a month. Admitted to hospital on May 18, 1977. Examination: blood pressure 155/90 mm Hg, heart, lung, liver and spleen no positive signs; nervous system examination with binocular edema, no signs of positioning; gynecological examination, such as the uterus seven weeks pregnant, soft, poor activity , The right corner of the uterus can touch the soft nodules of soybeans; chest two lungs have multiple metastases of different sizes, the larger 5 × 6 cm; male frog pregnancy test urine positive; liver function, blood, urine normal. Suddenly unconscious on the afternoon of admission, convulsions once, right Babinski’s sign positive, neck strong positive, intracranial pressure 335 mm water column, cerebrospinal fluid protein 30 mg%. Diagnosis of advanced choriocarcinoma, the uterus, lung (stage Ⅲ B) and brain metastases.