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患者陈×,女,29岁,孕3产2,农民,住院号71673,于1982年5月5日住院.月经史14(4～6)/(28～30),量中等,自81年11月20日末次月经后45天开始有早孕反应,又逐渐加重,持续了3个半月,经治疗效果不明显.1982年4月29日及5月3日,有二次一时性阴道少量流血,色暗红,无腹痛,自觉已有胎动感.近来有咳嗽,痰中偶带血丝,即转我院门诊就医,经B型超声波检查提示“宫内妊娠合并葡萄胎”尿HCG稀释64万iu/立升.体检:患者消瘦,体温36.9℃,脉搏78次/分,呼吸18次/分,血压120/80,心肺(-).腹部检查:宫底脐平,有肢体感,胎心音140/分,胎位与胎先露不清.阴道检查.外阴经产式,阴道未见异常,宫颈光滑,颈口闭,未见出血.化验:均正常.腹部摄片:可见一胎儿头骨及四肢骨骼阴影.胸片:右肺中,视野外与第四肋重迭外,可见1×0.5厘米的椭园形致密
Patient Chen ×, female, 29 years old, pregnant 3 3, farmer, hospital number 71673, was hospitalized on May 5, 1982. Menstrual history 14 (4-6) / (28-30) November 20, 45 days after the last menstruation began early pregnancy reaction, and gradually increased for 3 and a half months, the treatment effect is not obvious. April 29, 1982 and May 3, there are two occasional small amount of vaginal bleeding , Dark red, no abdominal pain, consciously have fetal movement. Recently have cough, sputum even with bloodshot eyes, that is transferred to our hospital for medical treatment, the B-mode ultrasound showed that “intrauterine pregnancy with hydatidiform mole” urine HCG diluted 640,000 iu / liters. Physical examination: patients wasting, body temperature 36.9 ℃, pulse 78 beats / min, breathing 18 beats / min, blood pressure 120/80, cardiopulmonary (-) abdominal examination: uterine fundus, Tone 140 / min, the fetal position and the fetal unclear. Vaginal examination. Vaginal production, vaginal no abnormalities, smooth cervix, cervix closed, no bleeding. Laboratory tests were normal. Abdominal radiography: visible a fetal skull And limb skeletal shadows. X-ray: right lung, field of vision overlap with the fourth rib outside, showing 1 × 0.5 cm elliptical compact