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患者,24岁,孕2产0孕30周,阴道流水11天,无胎动感2天,于1992年3月6日入院.患者停经40天出现早孕反应,无阴道出血及服药史,孕3月时早孕反应自然消失.妊娠5月感胎动并下肢踝关节以下水肿.妊娠6月半时阴道出现少量黄红色分泌物,当地医院B超提示“部分性葡萄胎”.11天前阴道开始少量流血水,近1周增多,超月经量.1991年孕2月人工流产1胎,无其他特殊病史.体检:T37℃,P68次/分,Bp20/11kPa.双下肢水肿(+),腹围93cm,宫高34cm,头先露,胎心音未闻及,无宫缩,阴道有少量血水流出.血、尿液分析正常,肝功能ALT 81.0U/L,TP 54.7g/L,胸片示双下肺纹理增强,血β—hCG>320.0IU/L,B超:BPD 7.9cm,FL5.0cm,AF 2.7cm,胎盘位于子宫前壁,最厚处9.2cm,大片散在网状无回声区,其直径0.7～3.0cm,提示:“孕30周头先露,部份性葡萄胎可能”.
Patient, 24 years old, pregnancy 2 producing 0 pregnant 30 weeks, vaginal water for 11 days, no fetal movement for 2 days, admitted to hospital on March 6, 1992. The patient’s menopause 40 days early pregnancy reaction, no vaginal bleeding and medication history, pregnancy 3 Early pregnancy reaction naturally disappeared on the month of pregnancy. Fetal movement and edema of lower extremities below the cervix in May. A small amount of yellow-red secretions appear in the vagina during pregnancy in the sixth month of pregnancy. The local hospital B ultrasound prompts “partial mole”. 11 days before the beginning of the vagina a small amount Bleeding water, increased in the past 1 week, over the amount of menstruation. In February 1991, abortion in 1 pregnancy, no other special medical history. Physical examination: T37 °C, P68 beats / min, Bp20/11kPa. Lower extremity edema (+), abdominal circumference 93cm, Palace height 34cm, head exposed, no sound of fetal heart rate, no contractions, a small amount of blood outflow of the vagina. Blood, urine analysis is normal, liver function ALT 81.0U/L, TP 54.7g/L, chest X-ray Double-lower lung texture enhancement, blood β-hCG>320.0IU/L, B-ultrasound: BPD 7.9cm, FL5.0cm, AF 2.7cm, placenta in the anterior wall of the uterus, 9.2cm at the thickest part, large scattered in the mesh without echo The area, which has a diameter of 0.7-3.0 cm, suggests: “The 30th trimester of pregnancy is first exposed, and partial mole may be possible.”