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患者,女性,28岁,G_1P_1,1997年9月10日下午因“人工流产术后下腹剧痛伴头晕,心慌4小时”入院。末次月经1997年7月18日,停经50~+天,在基层医院查尿hCG呈弱阳性,妇科检查子宫孕3月大小,即行人工流产术,术中出现下腹剧痛,肛门坠胀伴头晕、心慌,经输液,促宫缩处理症状无缓解急转我院。入院时为正常产后3~+月。 查体:T37.3℃,P120次/min,R23次/min,BP10.6/6.6kPa,患者神志清,急性痛苦病容,心肺无异常,下腹稍隆起,全腹压痛及反跳痛明显,呈板状腹,移动性浊音(+)。妇科检查:阴道少许血迹,宫颈Ⅰ°糜烂,举摆痛均明显,后穹窿触痛明显,子宫及双侧附件因腹肌紧张扪不清。Hb130g/L,WBC
Patient, female, 28 years old, G_1P_1, admitted to the hospital on the afternoon of September 10, 1997 for “Abdominal pain and dizziness, palpitation for 4 hours after abortion.” Last menstrual July 18, 1997, menopause 50 ~ + days, urinalysis in the primary hospital hCG was weakly positive, gynecological examination of uterus in March the size of the abortion, artificial abortion, intraoperative abdominal pain, dilation with dizziness , Palpitation, transfusion, and contractions to deal with symptoms without mitigation acute hospital. Admitted to normal postpartum 3 ~ + month. Physical examination: T37.3 ℃, P120 times / min, R23 times / min, BP10.6 / 6.6kPa, patients with clear consciousness, acute pain and disease, no abnormal heart and lungs, slightly bulging lower abdomen, abdominal tenderness and rebound tenderness significantly, Was abdominal plate, shifting dullness (+). Gynecological examination: a small amount of vaginal blood, cervix Ⅰ ° erosion, give the pain were significant, after the vault tenderness significantly, uterus and bilateral attachment due to abdominal muscle tension palpable. Hb130g / L, WBC