患者女性,34岁,妊娠20,现要求终止妊娠。G 2 P 1 ,3年前剖宫产史,1年前人工流产史,安全期避孕。平时月经5/30天,量中。体检T36℃,P72次/分,BP120/80mmHg,心肺无异常。下腹隆起,肝脏肋下未触及,肝区无叩击痛。子宫底平脐,胎心140次/分。B型超声检查示胎儿双顶径5.0cm,胎盘位于宫底部。患者血常规正常,B型超声示宫腔内不均质光团23mm×12mm,血HCG://182mIU/ml。下一步应实施的处理措施为()
A.
清宫术
B.
安络血
C.
扩张
D.
肌注缩
E.
抗生素
F.
切除子宫
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