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本文报告1例恶性葡萄胎尸体检查。尸检发现:其病变已侵及残留的宫颈和膀胱,并转移至阴道及肺;肾、脾、肺、脑呈化脓性炎症,表明病人有严重的败血症;脑垂体前叶(约3/4)贫血性梗死;肾小管急性坏死。此例提示:恶性葡萄胎患者如需外科治疗,必须在化疗基础上进行;在化疗期间应密切观察病情,以防败血症;如有出血性或中毒性休克,可引起脑垂体梗死及肾小管急性坏死,最终导致病人死亡。
This article reports 1 case of malignant mole examination of the body. Autopsy found: the lesions have invading the residual cervical and bladder, and transferred to the vagina and lung; kidney, spleen, lung, brain purulent inflammation, indicating that patients with severe sepsis; anterior pituitary (about 3/4) Anemic infarction; acute tubular necrosis. This case prompts: Malignant hydatidiform mole patients for surgical treatment, must be based on chemotherapy; during chemotherapy should be closely observed condition, to prevent sepsis; if hemorrhagic or toxic shock, can cause pituitary infarction and acute tubular Necrosis eventually leads to the patient’s death.