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超声诊断子宫绒毛膜癌破裂出血伴宫旁及肺转移1例

Chinese Journal of Medical Imaging Technology(2022)

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Abstract
患者女,53岁,阴道不规则出血4天并曾晕厥,伴下腹部持续性胀痛;孕1产1,近9个月月经紊乱,停经3个月.查体:体温36.3℃,脉搏85次/分,血压130/70 mmHg;腹部膨隆,压痛、反跳痛及移动性浊音阳性;宫颈肥大,举痛阳性.实验室检查:人绒毛膜促性腺激素(human chorionic gonadotropin,HCG)16 000.00 mIU/ml,红细胞计数 3.01×1012/L,血红蛋白96.0 g/L,血小板计数161.0×109/L,凝血功能未见明显异常.
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