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患者,女,42岁,G3P1,因“停经60天,上腹痛5天”急诊于2013年9月4日18:55入院。患者平素月经规则,末次月经2013年7月6日,末次月经量、性状同常。8月9日无明显诱因出现阴道流血,色鲜红,无血块,少于月经量,无下腹痛,无恶心、呕吐,无肛门坠胀感等不适,8月29日至外院查B超提示异位妊娠,建议住院治疗,未遵嘱。5天前患者于入睡时突发上腹部撕裂样疼痛,放射至后
Patient, female, 42 years old, G3P1, due to “menopause 60 days, upper abdominal pain 5 days” Emergency room was admitted at 18:55 on September 4, 2013. Patients usually menstrual rules, the last menstrual July 6, 2013, the last menstrual flow, traits normal. August 9 no obvious incentive vaginal bleeding, bright red, no blood clots, less than the amount of menstrual flow, no lower abdominal pain, no nausea, vomiting, no anorexia bulge and other discomfort, August 29 to the hospital to check B- Pregnancy, the proposed hospitalization, did not follow the instructions. 5 days ago when the patient fell asleep suddenly upper abdominal tear-like pain, radiation to the post