张某,50岁,因绝经5年阴道流血于1986年7月31日入院。既往月经正常,1981年绝经,1986年6月30日突然阴道流血,暗红色,量不多。7月9日在当地医院诊断刮宫疑有蜕膜组织,数次尿妊娠试验阴性,1周后再次诊断刮宫疑子宫内膜癌,术后5天起下腹痛,高热38～39.9℃,用抗生素后体温下降至37.8℃,症状减轻,因诊断不明来我院。20岁结婚,4胎3产,自然流产1次,1964年末次足月妊娠,产 Zhang, 50 years old, 5 years due to menopause vaginal bleeding in July 31, 1986 admission. Past menstrual normal, 1981 menopause, June 30, 1986 sudden vaginal bleeding, dark red, small amount. July 9 in the local hospital diagnosis of curettage suspected decidual tissue, several negative urine pregnancy test, a week after the diagnosis of curettage suspected endometrial cancer, 5 days after the next abdominal pain, fever 38 ~ 39.9 ℃, with antibiotics After the body temperature dropped to 37.8 ° C, reduce the symptoms, because of unknown diagnosis to our hospital. 20-year-old married, 4 tires 3 births, 1 spontaneous abortion, the last full-term pregnancy in 1964, production