患者,女,29岁,已婚。因黑便1月,加重5d入院。查体:BP101/66mmHg,重度贫血貌,浅表淋巴结未及,心尖区可及收缩期杂音,肺部呼吸音无殊,腹软无压痛。入院后查血常规示血红蛋白为63g/L,胃镜示胃十二指肠未见明显出血,查胸片示右肺多发占位。追问病史,2年前有葡萄胎清宫术史,发病前4 Patient, female, 29 years old, married. Due to black in January, increased 5d admission. Examination: BP101 / 66mmHg, severe anemia appearance, superficial lymph nodes, apical area and systolic murmur, pulmonary breath sounds without special, soft abdominal tenderness. After admission, blood tests showed hemoglobin 63g / L, gastroscopy showed no significant gastro-duodenal bleeding, check the chest radiograph showed multiple occupying the right lung. History asked, 2 years ago, history of hydatidiform mole, before the onset of 4