本例的可能诊断为①过期流产。②左侧卵巢囊肿。分析:该患为24岁已婚妇女,有闭经史及早孕反应,应首先想到妊娠的可能。如为宫内妊娠同时有阴道流血及昏迷,应考虑为流产。此时应伴有腹痛及“妊娠物”的排出,此点本病例记录不详。如为宫外孕,则输卵管妊娠常在妊娠12周左右因破裂或流产而出现典型的症状,本例表现在闭经5个月时出现阴道流血,且外出血与休克相符。而残角子宫妊娠常在妊娠中期破裂,主要表现为内出血的症状和体征。残角子宫妊娠时,孕卵周围都有催产素受体,对引产药物会有不同程度的反应,本例羊膜腔注射引产失败,因此不符合残角子宫妊娠。根据患者有闭经及早孕反应,用中药治疗后早孕反应缓解,应考虑为孕卵子妊娠早期死亡未自然排出。另外,闭经5个月阴遭大流血(约1000ml)伴昏 This case may be diagnosed as ① expired abortion. ② left ovarian cysts. Analysis: The suffering of 24-year-old married women, amenorrhea history and early pregnancy response, pregnancy should first think of the possibility. If intrauterine pregnancy vaginal bleeding and coma at the same time, should be considered abortion. At this time should be accompanied by abdominal pain and “pregnancy” discharge, this case record is unknown. If ectopic pregnancy, the tubal pregnancy often occurs in about 12 weeks of pregnancy due to rupture or abortion and the typical symptoms appear in this case at 5 months when amenorrhea vaginal bleeding occurs, and bleeding consistent with shock. The remnant uterine pregnancy often ruptured in the second trimester, mainly for the symptoms and signs of internal bleeding. Residual angle uterus pregnancy, there are oxytocin receptors around the pregnant eggs, induction of labor drugs will have varying degrees of response to this case of amniotic injection induced abortion failure, it does not meet the residual angle uterine pregnancy. According to patients with amenorrhea and early pregnancy response, response to early pregnancy after treatment with Chinese medicine to alleviate, should be considered for the early pregnancy of pregnant women did not naturally discharge the death. In addition, amenorrhea for 5 months overcast bleeding (about 1000ml) with fainting