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患者女,32岁,农民。因停经42 d,突发下腹剧痛9h,于1991年5月20日急诊入院。该妇LMP1991年4月8日,停经后无明显早孕反应。5月20日上午8时半突发下腹疼痛,肛门坠胀伴恶心呕吐,大汗淋漓,无晕厥,无尿频、尿急、尿痛,无腹泻及发热,未避孕。孕4产1。人工流产2次。查体:急性病容,贫血貌,血压12/8kPa,心肺(—),腹肌稍紧张,肝脾未触及。压痛及跳痛(+),移动性浊音(±),肠鸣音存在。妇检:外阴阴道正常,宫颈光,无血迹,举痛明显,后穹窿饱满,宫体及附件扪
Female patient, 32 years old, farmer. Due to menopause 42 d, sudden abdominal pain 9h, on May 20, 1991 emergency admission. The woman LMP April 8, 1991, no significant early pregnancy reaction after menopause. May 20 at half past eight burst of abdominal pain, anorexia with nausea and vomiting, sweating, no syncope, no urinary frequency, urgency, dysuria, no diarrhea and fever, no contraception. Pregnancy 4 production 1. Abortion 2 times. Physical examination: acute illness, anemia appearance, blood pressure 12 / 8kPa, cardiopulmonary (-), abdominal muscles slightly nervous, liver and spleen not touched. Tenderness and jump pain (+), dullness of mobility (±), bowel sounds exist. Gynecological examination: normal vulva and vagina, cervical light, no blood stains, pain was obvious, after the dome full, Palace and Annex