患者 38岁 ,孕 3产 1,住院号 :9745 6。因停经 41天 ,无痛性阴道流血 4天 ,于 1997年 8月 2 0日入院。未次月经1997年 7月 10日。患者门诊尿早早孕试验阳性 ,Ｂ超提示 :子宫肌瘤合并葡萄胎。入院后查体 :一般状态可 ,腹软 ,下腹稍膨隆 ,无压痛及反跳痛。宫底位于耻骨联合上二横 Patient 38 years old, pregnant 3 produce 1, hospital number 9745 6. Because of menopause 41 days, painless vaginal bleeding 4 days, in August 1997 on the 20th admission. Uncurrent menstruation July 10, 1997. Outpatient urine early pregnancy test positive, B-Tip: uterine fibroids with hydatidiform mole. Physical examination after admission: The general state can be, abdominal soft, slightly bulging lower abdomen, no tenderness and rebound tenderness. Palace at the pubic symphysis on the two horizontal