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患者42岁,农民。主诉取环术后反复阴道出血19天。病者放节育环8年,因近来月经不规则,在当地取环,过程不详。取环术后阴道持续出血,量不定,当地卫生院多次诊治无效,于1986年5月9日到我院妇科门诊。腹部平片检查发现宫腔内有“7”字形金属异物。拟为金属环残留于子宫腔内。在门诊试取失败。次日在X线透视下行取环术,顺利从宫腔钩出一金属异物,形状奇特,是用双重铁丝屈成的钩,长2.5cm,质硬,表面有少许宫肌纤维包裹。异物取出过程顺利,病者无不适。术后只作常规处理。回家后阴道流血未止。5月28日上午阴道突然大流血,量约500ml,觉头昏眼花,全身出汗,不省人事。即送卫生院,经注射葡萄糖,静脉输液,肌注宫缩剂后病情好转。下午5时转入我院。入院时神清,体温、血压正常,呈贫血面容,心肺正常。妇检:阴道有少许血污,宫颈炎(+),宫体后位,大小正常,双附件正
Patient 42 years old, farmer. The main complaint after repeated vaginal bleeding ring 19 days. The patient put the birth control ring for 8 years, due to irregular menstruation recently, take the ring in the local, the process is unknown. Vaginal surgery to take after continuous bleeding, the amount of uncertainty, the local clinic invalid multiple diagnosis and treatment, in May 9, 1986 to our hospital gynecology clinic. Abdominal plain film examination found intrauterine “7” shaped metal foreign body. Proposed as a metal ring remaining in the uterine cavity. In the clinic failed to try. The next day in the X-ray fluoroscopy downlink loop, successfully hooked from the uterine cavity of a metal foreign body, peculiar shape, is the use of double wire bent hook, length 2.5cm, hard, the surface a little myometrial fiber package. Foreign body out of the process smoothly, the patient without discomfort. Only after conventional treatment. Vaginal bleeding after returning home. May 28 morning sudden vaginal bleeding, about 500ml, feeling dizzy, sweaty body, unconscious. That is to send the hospital, the injection of glucose, intravenous fluids, intramuscular uterine contractions after the condition improved. 5 pm transferred to our hospital. Clear admission, body temperature, normal blood pressure, anemia, normal heart and lung. Maternal seizure: a little blood in the vagina, cervicitis (+), posterior uterus, the size of normal, double attachment