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双胎妊娠中其一为正常胎儿,而另一胎为葡萄胎者临床上较为少见。现报道一例如下: 患者,女,25岁,因妊娠4个月阴道不规则流血半月余,伴有严重恶心,呕吐、头痛。于1987年3月24日入院。尿HCG稀释半定量为512万iu/L,B型超声波提示妊娠合并葡萄胎。体检:体温:36.7℃,血压170/110,心肺(一).宫底脐下一指,未触及明显胎块。妇科检查:阴道有少量暗褐色血液,未见紫兰色结节:宫颈闭,宫体为妊娠5个月大小,软,胎肢不清楚,胎心音未闻及;附件(一)。化验:红细胞2.95×10~(12)/L,血红蛋白85g/L。
One of the twin pregnancies is a normal fetus while the other is a hydrops. A case is reported as follows: The patient, female, 25 years old, due to irregular vaginal bleeding for 4 months of pregnancy more than a half months, accompanied by severe nausea, vomiting, headache. On March 24, 1987 admitted. Digestion of urine HCG semi-quantitative was 512 million iu / L, B ultrasound prompted pregnancy with hydatidiform mole. Physical examination: body temperature: 36.7 ℃, blood pressure 170/110, cardiopulmonary (a). Palace under the umbilical a finger, did not touch the obvious block. Gynecological examination: a small amount of dark brown blood in the vagina, no purple-blue nodules: cervical closure, the size of the uterus for 5 months of pregnancy, soft, fetal limb is not clear, fetal heart sound did not smell; Annex (a). Laboratory tests: erythrocytes 2.95 × 10 ~ (12) / L, hemoglobin 85g / L.