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患者许××,25岁,因停经6个月,腹痛2天伴阴道出血12小时,于1984年9月22日急诊入院。患者孕1产0,末次月经为1984年3月19日,于9月21日因蹲位劳动后出现下腹痛,向右下腹转移,且疼痛逐渐加重,并于9月22日2时出现阴道少量出血,色暗红,自疑“阑尾炎”而来我院。入院时查体:体温37.3℃,脉搏120次/分,血压100/40毫米汞柱。面色苍白,呈重度贫血貌,心肺无异常发现,腹部膨隆似孕8月大小,板状硬,满腹压痛及反跳痛明显,宫底剑突下3横指,腹围84厘米,宫高25厘米,子宫本身压痛明显,胎位不清,胎心听不刭。内诊情况:外阴有血迹,阴道有少量暗红色血,
Xu × × patients, 25 years old, due to menopause 6 months, 2 days with abdominal pain with vaginal bleeding for 12 hours in September 22, 1984 emergency admission. Patients with 1 pregnancy 0, the last menstrual March 19, 1984, on September 21 due to work after squatting lower abdominal pain, right lower quadrant metastasis, and the pain gradually increased, and at 22:00 on September 22, when the vagina A small amount of bleeding, dark color, suspect “appendicitis” from our hospital. Physical examination at admission: body temperature 37.3 ℃, pulse 120 beats / min, blood pressure 100/40 mm Hg. Pale, severe anemia appearance, no abnormal heart and lung findings, abdomen bulging like pregnancy August size, hard plate, full of tenderness and rebound tenderness obvious, the bottom of the sword xiphoid 3 horizontal, abdominal circumference 84 cm, 25 high Cm, the uterus itself tenderness obviously, fetal position is unclear, fetal heart sounds unpleasant. Out-patient conditions: vulva with blood, a small amount of dark red vagina blood,