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患者43岁,住院号285194,人工流产后一个月阴道流血伴腹痛入院.既往月经规律,量中等,孕4产2,末产17年前.一个多个前在外院行人工流产,自宫腔吸出破碎胎盘绒毛6g。术后恶心呕吐等症状未减轻,并出现左下腹痛.五天前化验hCG4000IU/L,在外院曾行第二次吸宫,吸出蜕膜组织(0.5g),术后应用青霉素、卡那霉素,腹痛症状未减轻,并出现点滴阴道出血.妇科检查:宫颈光滑,着色,子宫质软,稍大,左侧宫角处触及约8cm×6cm 质软有压痛的包块.右侧附件正常.B 超提示:疑为异位葡萄胎.拟诊:异位妊娠葡萄胎?入院观察.
43 years old, hospitalization 285194, vaginal bleeding one month after abortion with abdominal pain admitted to the hospital.Menstrual menstrual flow, moderate, pregnant 4, 2, end 17 years ago.One more before the abortion abortion, from the uterine cavity Aspirate the broken placenta villi 6g. Postoperative nausea and vomiting and other symptoms did not reduce, and the left lower abdominal pain.Hospital 5 days ago test hCG 4000IU / L, in the outer court had a second suction Palace, aspiration of decidual tissue (0.5g), postoperative penicillin, kanamycin , Abdominal pain symptoms did not reduce, and there was drip vaginal bleeding.Gynecological examination: Cervical smooth, coloring, uterine soft, slightly larger, the left corner of the palace touched about 8cm × 6cm soft tender mass. Right attachment normal. B-Tip: suspected of ectopic hydatidiform mole. Diagnosis: ectopic pregnancy hydatidiform mole? Admission observation.