The diagnosis of hyperemesis gravidarum mainly relies on the intrauterine tissues sent for pathological examination after evacuation of the uterus, and cannot be judged solely on the basis of the degree of decline in HCG.
Grapheus is a common abnormal pregnancy, due to abnormal proliferation of placental chorionic trophoblast cells after pregnancy, interstitial edema, the formation of different sizes of blisters, blisters between the tip of the connected into bunches, shaped like grapes.
Typical symptoms of hyperemesis gravidarum are vaginal bleeding after menopause. ultrasound can be used as a preliminary diagnosis of hyperemesis gravidarum, and the final diagnosis needs to rely on the intrauterine tissues to be sent for pathological examination after the removal of the uterus.
The HCG usually falls to the normal value eight weeks after the evacuation of the uterus. If the HCG decreases slowly or rises again after the decrease, it is necessary to pay attention to the exclusion of intrauterine residues or distant metastases.
HCG has dropped to 10 on the 17th day after the removal of uterus, which is a good drop, no matter whether it is a gravid fetus or not, it means that the uterus has been cleaned up, and the diagnosis of gravid fetus still relies on the pathologic examination, which can’t be based on HCG alone.