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患者44岁,孕2产2,19年前做输卵管绝育术。既往月经规则,因停经60余天,阴道持续流血20余天,近几天出血加重,下腹隐痛而入院。查体:一般检查均无异常发现,腹软未扪及包块,全身淋巴结无肿大。妇科检查:外阴已婚经产式,阴道畅,有少量血液流出,宫颈光滑稍着色,少量血液,子宫前位,略饱满,活动,质软,有压痛,两侧附件未扪及包块。辅助检查:尿妊娠试验(—),血红蛋白6.5g/L,白细胞:12×10~9/L;B超:宫腔内有不规则团块回声。患者入院后在常规消毒下
44-year-old patient, pregnancy 2, 2, 19 years ago to do tubal sterilization. Past menstrual rules, due to menopause 60 days, vaginal bleeding continued for more than 20 days in recent days, increased bleeding, abdominal pain and admission. Physical examination: no abnormalities were found in general examination, abdominal palmar soft palpable mass, no enlarged lymph nodes. Gynecological examination: genital Married by type, vaginal Chang, a small amount of blood outflow, cervical smooth and slightly coloring, a small amount of blood, uterine anterior, slightly full, activity, soft, tenderness, both sides attachments palpable mass. Auxiliary examination: urine pregnancy test (-), hemoglobin 6.5g / L, white blood cells: 12 × 10 ~ 9 / L; B ultrasound: intrauterine irregular clumps echo. Patients admitted to the routine disinfection