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患者 23岁,因停经42天下腹疼痛1天于1994年3月30日上午急诊入院。闭经39天时尿妊娠试验(+),当日(即3月27日)行药物流产:口服米非司嗣150mg48小时后服米索前列醇600μg。服药后有少量阴道出血但无胎囊排出。入院前1日突然出现右下腹痛,伴有胃部不适。入院当日晨起腹痛加剧,疼痛难忍,伴肛门坠胀及恶心、呕吐、头昏,乏力等,查体:体温36.7℃,脉搏84次,呼吸24次,血压13.3/8kPa。神清,急性病容。皮肤
The patient was 23 years old and had abdominal pain due to menopause for 42 days. She was admitted to the hospital on the morning of March 30, 1994. Amenorrhea 39 days urine pregnancy test (+), the same day (ie, March 27) abortion drug: oral administration of mifepristone 150mg 48 hours after taking misoprostol 600μg. After taking a small amount of vaginal bleeding but no fetal discharge. On the 1st day before admission, her right lower quadrant abdominal pain suddenly appeared accompanied by stomach discomfort. On the day of admission, abdominal pain intensified, pain was unbearable, accompanied by anal bulge and nausea, vomiting, dizziness, fatigue, examination: body temperature 36.7 ℃, pulse 84 times, breathing 24 times, blood pressure 13.3 / 8kPa. Clear, acute disease. skin