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患者33岁,于1996年10月26日因不规则阴道流血一个月入院.病史:既往月经规律,末次月经1996年8月16日.10月3日因阴道淋漓出血一周在外院B超为不全流产行刮宫术.术后仍不规则阴道流血,13日、26日又分别两次刮宫未刮出组织.16日左下腹突然剧痛有下坠及排便感.口服止痛药,半天疼痛缓解.26日转来我院.查体:一般状态良好,无贫血外观,腹软,左下腹轻触痛,叩诊无移浊,腹部肥胖未触及包块.妇科检查:经产型外阴,阴道有少许血,宫颈轻触痛,宫体略大正常,左侧附件区可触及鸡卵大中等硬包块,压痛,后穹窿穿刺抽出1毫升暗红色陈旧血.B超:左侧附件区探及
The patient was 33 years old and was admitted to hospital on irregular vaginal discharge for one month on October 26, 1996. History: Previous menstrual cycle, last menstrual period August 16, 1996. Oct. 3 due to vaginal bleeding during one week in hospital B ultrasound as incomplete Abortion curettage .After the irregular vaginal bleeding, respectively, on the 13th and 26th, respectively, twice curettage did not scratch out the organization .16 on the left lower abdomen sudden pain and fall and defecation .Oral painkillers, pain relieved half a day.26 Day turn to our hospital. Physical examination: the general good condition, no anemia appearance, abdominal soft, left lower quadrant tenderness, percussion without moving turbidity, abdominal obesity did not touch the mass .Gynecological examination: the production of genital, vaginal a little blood , Cervical tenderness, the palace body slightly normal, the left attachment area can reach large and medium hard chicken eggs, tenderness, culdocentesis out 1ml dark red old blood .B super: the left attachment area to explore and