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患者,女,21岁。因怀孕36周,进食油腻食物后突发上腹持续性剧痛伴呕吐2小时,于1985年11月27日入院。末次月经1985年3月14日,预产期1985年12月21日。G_1P_0,孕期无特殊情况,一贯身体健康。入院检查:发育正常。血压100/60,急性痛苦病容,侧卧位。心肺(-),肝脾未及,下肢无浮肿。宫底 U+2F,轮廓清楚,头位,胎心音140次/分。无宫缩,宫口未开,先露浮。上腹部压痛,反跳痛明显。血常规正常,尿常规:蛋白(+),透明管型及颗粒管型(+)。左右侧腹穿液均为乳白色无臭混
Patient, female, 21 years old. Due to 36 weeks of pregnancy, eating oily food after a sudden upper abdominal persistent severe pain with vomiting for 2 hours, on November 27, 1985 admission. The last menstruation March 14, 1985, the expected date of December 21, 1985. G_1P_0, no special pregnancy, always in good health. Admission examination: normal development. Blood pressure 100/60, acute pain, lateral position. Cardiopulmonary (-), liver and spleen, lower extremity no edema. Palace U + 2F, clear outline, head position, fetal heart sound 140 beats / min. No contractions, cervix is not open, first exposed floating. Upper abdominal tenderness, rebound pain obvious. Normal blood, urine: protein (+), transparent tube and granular tube (+). Left and right side abdominal fluid are milky white odorless mixed