试题与答案

女,29岁,2010年1月15日因 * * 大量出血13天伴头晕4天入院。既往月经5天/3

题型:多项选择题 案例分析题

题目:

女,29岁,2010年1月15日因 * * 大量出血13天伴头晕4天入院。既往月经5天/30天,量中,无痛经,有性生活史,孕0产0,前次月经2009年12月7日,正常,2010年1月2日始 * * 少量出血,2天后血量增多,有大血块,口服止血药不好转,出现食欲差、头晕、眼花。门诊检查:血压105/60mmHg,脉搏120次/分,消瘦,面色苍白。妇检:外阴 * * (-),宫颈光,外口松,有活动性出血,子宫前位正常大小,无压痛,双附件(-)。化验:Hb3.4g/L,WBC27.1×109/L,中性粒细胞87.54%,血小板62×109/L。B超:子宫前位4.0cm×4.2cm×3.1cm,内膜0.4cm,双卵巢3cm×2cm×2cm,多泡,最大0.8cm。

最可能的诊断是()

A.排卵功血

B.无排卵功血

C.不全流产

D.异位妊娠

E.血小板减少所致出血

答案:

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