试题与答案

患者35岁,因下腹痛伴 * * 流血在外院诊为盆腔炎、功能失调性子宫出血,抗生素止血治疗1

题型:多项选择题 共用题干题

题目:

患者35岁,因下腹痛伴 * * 流血在外院诊为盆腔炎、功能失调性子宫出血,抗生素止血治疗10天。仍有 * * 流血,伴外阴瘙痒于2010年5月2日来诊。妇科检查:外阴略肿, * * 分泌物豆腐渣样,宫颈Ⅲ度糜烂,肥大,触血,有摆痛,颈管内流出咖啡色液体,子宫前位略大,轻度压痛,右附件区可触及3cm包块,压痛,左附件区(-)。既往未进行常规体检,G4P0L0A4

经问诊该患者未避孕,尿妊娠试验阳性,末次月经3月20日,月经周期30天。白带常规示念珠菌感染,妇科B超示有附件区囊性包块,直径4cm。子宫内膜厚1.0cm。宫颈涂片示重度炎症,hCG测定4000U/L。该患者的诊断包括()。

A.异位妊娠

B.外阴 * * 假丝酵母菌病

C.细菌性 * * 炎

D.外阴瘙痒症

E.功能失调性子宫出血

F.慢性宫颈炎

G.CIN

H.急性盆腔炎

I.先兆流产

答案:

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