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患者28岁,孕4产1,停经4个月要求引产。末次月经1988年10月27日。停经50天后出现较重早孕反应。于1989年2月8日在当地医院行人流吸宫术。病史介绍术中见有绒毛组织,只符合怀孕40天大小,术后阴道流血少、但早孕反应仍持续存在。术后1月B超检查提示宫内妊娠、活胎,再次住院行水囊引产及雷凡奴尔羊膜腔注射引产和钳刮术均告失败而于1989年3月17日转来我院。检查:T37.5℃P90次/min,R22次BP16/11kPa。妇检:外阴经产式,阴道少量血性物;宫颈光滑、着色、口松;宫体前位偏右,略大于正常,质中。于子宫左上方可触及20×20×
The patient was 28 years old, pregnant and 4 producing 1, menopause 4 months required induction of labor. The last menstruation October 27, 1988. 50 days after menopause, a heavier pregnancy reaction. On February 8, 1989, a pedestrian flow was taken at a local hospital for aspiration. History of surgery to see the villi, only 40 days of pregnancy size, vaginal bleeding less, but the early pregnancy reaction persists. B-ultrasound in January after surgery prompted intrauterine pregnancy, live births, rehospitalization of the water sac induced abortion and Radian Nylar amniotic cavity induced abortion and forceps curettage failed and on March 17, 1989 transferred to our hospital. Check: T90.5 ℃ P90 times / min, R22 times BP16 / 11kPa. Gynecological examination: genital production, a small amount of vaginal bloody; cervix smooth, colored, loose mouth; Palace anterior to the right, slightly larger than normal, quality. In the upper left corner of the uterus reach 20 × 20 ×