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宫内妊娠始肆绒癌极为少见,最早为Walthard于1907年报道。1970年Van der Werf收集文献18例,国内1975年黎道洋报告1例。本文报道2例现介绍于下: 病例1:马××,28岁,于1973年4月2日入院,初产妇,妊娠6~+月,自停经36天起经常有少量阴道流血,经“保胎”治疗3个月血止。随即有持续性下腹痛,每7～8天剧痛一次,持续一天缓解。曾先后住当地医院3次,并施行“阑尾”手术,术中发现右卵巢有一鸭蛋大小之囊肿即切除之,闲尾无异常。术后仍有腹痛,乃于4月2日来沪求治。入院检查宫底脐上3指,胎心好,血压110/70毫米汞柱。入院次日突感头晕、右侧上下肢麻木,有轻度抽搐,随即不能活动,诊为“脑血栓形成”,给予对症治疗并观察。
Intrauterine pregnancy tilapia is extremely rare, first reported in 1907 by Walthard. In 1970 Van der Werf collected 18 cases of literature, and in 1975, 1 case of Le Dao Yang reported. This article reports 2 cases are introduced in the next: Case 1: Ma × ×, 28 years old, admitted to the hospital on April 2, 1973, primipara, pregnancy 6 to + month, since the menopause 36 days often have a small amount of vaginal bleeding, Miscarriage “treatment 3 months blood only. Then there are persistent lower abdominal pain, severe pain every 7 to 8 days, sustained a day of remission. Has lived in the local hospital three times, and the implementation of ”appendix“ surgery, intraoperative findings of a duck of right ovary size of the cyst that is removed, no abnormal tail. There are still abdominal pain after surgery, but to seek treatment on April 2 in Shanghai. Admission at the end of the uterus 3 fingers, good fetal heart rate, blood pressure 110/70 mm Hg. Sudden admission dizziness the next day, the right upper and lower limb numbness, mild convulsions, then can not move, diagnosed as ”cerebral thrombosis", given symptomatic treatment and observation.