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例1,女30岁,G_3P_0,住院号383368,因不规则阴道流血、淋漓不尽40~+天入院,无腹痛。查:T 37.5℃,P 78次/分,BP16/10kPa,心肺(-),肝脾肋下未及。妇科检查:阴道内中量暗红色血液,宫颈光滑无举痛,子宫前屈位,稍大,其后方扪及约5cm×4cm包块,边界欠清,与子宫关系紧密,轻压痛,双附件(-),后穹隆穿刺抽出少量不凝血。门诊查血色素107g/L,尿HCG阳性,B超提示盆腔包块,宫外孕可能性大。入院诊断:陈旧性宫外孕。入院后测血HCG503.2ng/ml
Example 1, female 30 years old, G_3P_0, hospital number 383368, due to irregular vaginal bleeding, dripping 40 ~ + day admission, no abdominal pain. Check: T 37.5 ℃, P 78 beats / min, BP16 / 10kPa, cardiopulmonary (-), liver and spleen ribs not yet. Gynecological examination: the amount of dark red blood in the vagina, cervical smooth no pain, uterine flexion, slightly larger, behind the palpable about 5cm × 4cm mass, the border is not clear, and the uterus close, mild tenderness, double attachment (-), after a small amount of dome puncture does not clotting. Outpatient examination hemoglobin 107g / L, urine HCG positive, B-ultrasound pelvic mass, the possibility of ectopic pregnancy. Admission diagnosis: old ectopic pregnancy. After admission blood test HCG503.2ng / ml