例1.28岁,孕1产0。住院号4443。因妊娠32周,胎动消失2天,伴阵发性腹痛3小时入院。该患者停经4~+月有胎动感,孕26周时觉腹部增长迅速,作“B”超检查可疑胎盘水泡样变或部分性葡萄胎。孕期无阴道流血,入院前2天无诱因胎动消失。检查宫底脐上4指,儿头入盆,胎心未听到,内诊宫颈消失,宫口开大3cm,胎膜未破。入院后5小时,自然分娩一死婴,体重1250g,胎盘24×22×4cm,重1500g,约1/3面积水泡样变。病理报告:部分绒毛水泡样变性,未见滋养叶细胞增生,产后第二天尿hCG稀释半定量1250IU/L,产褥经过正常,无产后出血等症状。门诊随访三次尿hCG浓缩半定量阴性。二 Example 1.28 years old, pregnant 1 produce 0. Hospital number 4443. 32 weeks of pregnancy, fetal movement disappeared 2 days, with paroxysmal abdominal pain 3 hours admitted. The patient menopause 4 ~ + months have fetal movement, 26 weeks pregnant feel the rapid growth of the abdomen, as “B” ultrasonography suspected placental blister-like or partial mole. No vaginal bleeding during pregnancy, 2 days before admission without cause fetal movement disappeared. Check the uterus at the end of 4 refers to the fingers, the child into the basin, fetal heart did not hear, the cervix disappeared, open the cervix 3cm, fetal membranes are not broken. 5 hours after admission, natural childbirth dead baby, weight 1250g, placenta 24 × 22 × 4cm, weight 1500g, about 1/3 area blister-like change. Pathological report: some villous degeneration, no trophoblastic follicular hyperplasia, the second day postpartum urine hCG dilution of semi-quantitative 1250IU / L, puerpera after normal, no postpartum hemorrhage and other symptoms. Outpatient follow-up urinary hCG concentration semi-quantitative three times negative. two