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患者,25岁,住院号47591。于1986年3月28日以停经3~+月,腰腹痛10天入院。既往月经正常,婚后二年未孕,停经后有早孕反应,停经2~+月后有少量阴道流血,曾在当地医院行人工流产术(刮出组织不详)。以后阴道流血停止,亦未经任何治疗。近十天来自感腰腹胀痛,伴解大便困难及尿频尿急。无昏厥及阴道出血,门诊经A 超探查提示“葡萄胎”而收住院治疗。入院检查:下腹部可触及孕4月妊娠大小的包块,压痛不明显,不活动。妇检:子宫颈较小,宫体前倾.大小触不清,后穹窿饱满,触痛不明显,双侧附件触不清,下腹部包块张力较大,无明显囊性感。妊娠免疫试验原尿阳性,稀释1/300阴性。剖腹探查术中见子宫如手拳大小,质硬,表面凸凹不平,右侧附件约有手拳大小之包块,质硬,与子宫后壁、肠管、
Patient, 25 years old, hospital number 47591. March 28, 1986 to menopause 3 ~ + month, waist pain 10 days admitted. Previous normal menstruation, two years after marriage is not pregnant, postmenopausal pregnancy response, menopausal 2 ~ + month after a small amount of vaginal bleeding, abortion has been performed in the local hospital (scraped out of tissue is unknown). Vaginal bleeding after the stop, but also without any treatment. Nearly ten days from the feeling of waist pain, with stool difficulties and urinary urgency. No fainting and vaginal bleeding, outpatient clinic A prompt exploration of “hydatidiform mole” and admitted to hospital for treatment. Admission examination: the lower abdomen can reach the size of pregnant pregnancy in 4 mass of pregnancy, tenderness is not obvious, not active. Gynecological examination: cervical smaller, leaning forward Palace.The size of palpable, the posterior fornix full, tenderness is not obvious, bilateral appendages touch unclear, lower abdominal mass tension, no obvious cystic sexy. Pregnancy immune test urine positive, diluted 1/300 negative. See laparotomy in the uterus, such as boxing hand size, hard, uneven surface, the right hand side of the box size of the hand mass, hard, and the uterine wall, bowel,