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患者35岁,G_(?)P_1.因下腹痛1天,加重伴肛门坠胀4小时,于1996年4月21日急诊入院.Lmp:1996年1月31日.无恶心、呕吐、晕厥及外伤史.平素月经规则,量中,无痛经.入院体检神清,急性痛苦面客,T37.8℃,BP16/10kPa,P85次/分,心肺(-),下腹压痛(+),以右下腹明显伴反跳痛,移动性浊音(±).妇检阴道:后穿窿触痛但不饱满.宫体:正常大小,压痛.双侧附件未触及包块,均有压痛.后穹窿穿刺顺利抽出3ml不凝血. 化验:Hb105g/l,WBC10.5×10~9/L,NO.84,LO.16.疑诊:宫外孕.入院时全身状况尚可,生命体征平稳,故行保守治疗.夜间腹痛加重,入院后5小时急诊剖腹探查.术中见盆腔内粘连,积血150ml,子宫正常大小,右输卵管增粗,直径约2.5cm,充血水肿,双卵巢正常,无活动性出血.行右输卵管切除术.术后抗炎处理,7天拆线,痊愈出院.病理示右输卵管急性炎症伴出血及部分坏死.两个
The patient was 35 years old, G_ (?) P_1. One day after lower abdominal pain, aggravated with anus bulge for 4 hours and was admitted to the emergency department on April 21, 1996. Lmp: January 31, 1996. No nausea, vomiting, syncope and T37.8 ℃, BP16 / 10kPa, P85 beats / min, cardiopulmonary (-), abdominal tenderness (+), the right to the right Lower abdomen significantly with rebound tenderness, mobility dullness (±). Gynecological vaginal: after piercing but tender but not full. Palace body: normal size, tenderness. Bilateral attachment did not touch the mass, have tenderness. Successfully extracted 3ml blood coagulation.Experiment: Hb105g / l, WBC10.5 × 10 ~ 9 / L, NO.84, LO.16.Doubtful diagnosis: ectopic pregnancy.Conditions when the general condition is acceptable, stable vital signs, so conservative treatment Night abdominal pain aggravated, 5 hours after admission, emergency laparotomy exploration intraoperative pelvic adhesions, hemorrhage 150ml, the normal size of the uterus, right tubal thickening, diameter of about 2.5cm, congestion and edema, double ovary normal, no active bleeding. Line right salpingectomy postoperative anti-inflammatory treatment, 7 days stitches, healed and discharged.Pathology showed acute inflammation of the right fallopian tube with bleeding and partial necrosis .Two