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患者女性,29岁,B超诊断良性葡萄胎在本院敞二次清宫术并病理证实。出院后42天无阴道出血,无咳嗽咯血史。因骑踏三轮车时突感下腹部撕裂感,继后出现持续性腹痛而入院。体检:一般情况好,BP106/70mmHg,腹平软,下腹部腹肌稍紧张,压痛明显,妇检:外阴(-),阴道通畅无血迹,子宫体大小正常,宫颈触举痛明显,后穹窿饱满,后穹窿穿刺抽出不凝固暗红色血液5ml,血HCG23.5ng/ml。
Female patient, 29 years old, B ultrasound diagnosis of benign hydatidiform mole in our hospital and confirmed by pathology. No vaginal bleeding 42 days after discharge, no history of cough and hemoptysis. Due to riding a tricycle sense of lower abdomen tear sensation, followed by persistent abdominal pain and admission. Physical examination: the general situation is good, BP106 / 70mmHg, abdominal soft, slightly lower abdominal abdominal muscle, tenderness obvious, gynecological examination: vulva (-), vaginal patency without blood, normal uterine body size, cervical tenderness was obvious, posterior fornix Full, culdocentesis not solidified dark red blood 5ml, blood HCG23.5ng / ml.