山西姜海棠问:一患者21岁,孕3个月人流术后3天,持续腹痛并发热,T38.5～39.5℃,少量阴道流血,未见组织排出。查下腹部明显压痛及反跳痛,移动性浊音(+)。子宫超鸭卵大且有压痛,子宫左角突出,双附件未触及包块。WBC13.5×10~9/L,诊断子宫穿孔,腹腔内出血,行剖腹探查术。术中见腹腔积血400ml,子宫完整未见破口,左卵巢有2cm长破口且有渗血,左输卵管增粗,伞端渗血。切开子宫,清理 Shanxi ginger Begonia Q: a 21-year-old, 3 months after pregnancy three days after abortion, abdominal pain and fever, T38.5 ~ 39.5 ℃, a small amount of vaginal bleeding, no tissue discharge. Check the abdomen was tenderness and rebound tenderness, mobility dullness (+). Ultra-large uterine eggs and have tenderness, prominent left corner of the uterus, double attachment did not touch the mass. WBC 13.5 × 10 ~ 9 / L, diagnosis of uterine perforation, intra-abdominal bleeding, laparotomy exploration. Abdominal hemorrhage 400ml see intraoperative, no complete uterine break, the left ovary 2cm long break and bleeding, left tubal thickening, umbrella end bleeding. Cut the uterus and clean it up