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患者,女,32岁。因停经70余天,尿液化验HCG(人绒毛膜促性腺激素)阳性,诊断为早孕而在私人诊所行人工流产术。术中病人感觉腹痛难忍,面色苍白,继而大汗淋漓,急测血压下降而急转我院。查体合作,痛苦面容,呻吟不断,测血压10/6kPa,脉搏120次/分,呼吸22次/分,腹肌稍紧张,拒按,妇科检查阴道内有鲜血外流,诊断为子宫穿孔。立即给予术前准备,在硬膜外麻醉下行剖腹探查术。术中见子宫底正中有一穿孔处,立即给予穿孔修补术。探查时又发现多处小肠穿孔,即行肠穿孔修补术,经过积极的抢救与精心治疗护理,患者于术后14天痊愈出院。
Patient, female, 32 years old. Due to menopause 70 days, urinalysis HCG (human chorionic gonadotropin) positive, diagnosed as early pregnancy and abortion in private clinics. Intraoperative patients feel abdominal pain unbearable, pale, and then sweating, rapid decline in blood pressure and rapid transit to our hospital. Physical examination, painful face, constantly moaning, measuring blood pressure 10 / 6kPa, pulse 120 beats / min, breathing 22 beats / min, abdominal muscle slightly nervous, refused to press, gynecological examination vaginal bleeding in the blood, diagnosis of uterine perforation. Immediate preoperative preparation for laparotomy under epidural anesthesia. Intraoperative see the end of the uterus at the bottom of a perforation, immediately give perforation repair. Exploration and found that many small intestine perforation, that intestinal perforation repair, after active rescue and meticulous care and treatment, patients were discharged after 14 days of surgery.