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患者,女,31岁,已婚。孕2产2,因“下腹部疼痛伴月经紊乱3个月,加重15天”为主诉于2013年11月2日入院。查体:T:36.4℃,P:80min~(-1),R:20min~(-1),BP:110mmH g/60mmH g。体重56kg。神态自如,双眼睑结膜苍白,双肺呼吸音清,心律80min~(-1),律齐,各瓣膜听诊区未闻及杂音及病理性杂音。腹平软,下腹部见一约3.0cm手术瘢痕。宫底耻骨联合上未触及,下腹部压痛(+),无反跳痛,水肿(-)。妇科情况:外阴:已产式;阴道:畅;宫颈;光,轻度肥大;宫体:前位,增大如孕50+天大小;附件:双侧压痛(+)。B超提示:子宫后壁见一约4.5cm×4.0cm低回声,
Patient, female, 31 years old, married. 2 pregnant 2, because “lower abdominal pain with menstrual disorders 3 months, increased 15 days ” as the main complaint in November 2, 2013 admission. Examination: T: 36.4 ℃, P: 80min ~ (-1), R: 20min ~ (-1), BP: 110mmHg / 60mmHg. Weight 56kg. Eyelid pale conjunctiva, breath sounds clear lungs, heart rate 80min ~ (-1), law Qi, the valve auscultation area did not smell and murmur and pathology. Abdomen soft, see a 3.0cm surgical scar under the abdomen. Palace of the pubic symphysis was not touched, lower abdominal tenderness (+), no rebound pain, edema (-). Gynecological conditions: vulva: has produced; vagina: Chang; cervix; light, mild hypertrophy; Palace: anterior, increased as pregnant 50+ days size; attachment: bilateral tenderness (+). B-Tip: see a posterior wall of the uterus about 4.5cm × 4.0cm hypoechoic,