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患者32岁,已婚。因人工流产术后15d,下腹剧痛5h于1997年4月30日入院。孕2产1,平时月经规律,末次月经1997年2月7日,15d前因停经2月余,少量阴道出血伴恶心、呕吐、纳差,在外院以“先兆流产”行人工流产术,诉术后少量阴道出血2d,仍觉恶心、呕吐。5h前无诱因右下腹撕裂样疼痛,继之全腹痛,伴肛门坠胀。查体:T36.6℃,P84次/min,BP~(12)/7kPa。贫血貌,腹肌紧张,下腹部压痛,反跳痛明显,以右侧为著,移动性浊音(+)。
Patient 32 years old, married. 15 days after the abortion, abdominal pain 5h on April 30, 1997 admission. Pregnancy 2 production 1, usually menstrual regularity, the last menstrual February 7, 1997, 15d ago due to menopause more than 2 months, a small amount of vaginal bleeding with nausea, vomiting, anorexia, outside the hospital to “threatened abortion” line abortion, v. After a small amount of vaginal bleeding 2d, still feel nausea and vomiting. No incentive before 5h right lower quadrant tear-like pain, followed by full abdominal pain, with anus bulge. Physical examination: T36.6 ℃, P84 times / min, BP ~ (12) / 7kPa. Anemia appearance, abdominal muscle tension, tenderness under the abdomen, rebound tenderness obvious to the right side, shifting dullness (+).