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患者26岁,妊娠16周腹痛伴突然晕厥3小时于1995年5月29日入院。末次月经1995年1月31日,入院前一日晚曾同房,当时感上腹不适,但不剧,5小时后感腹痛、腹胀明显,于小便后突然晕厥入院。 查体:T 37℃,P 106次/分,R 26次/分,BP9.5/7kPa。重度贫血貌,神志恍惚,心肺正常。腹肌紧张,全腹压痛、反跳痛明显,肠鸣音消失,宫底脐下3指,可触及,压痛不明显。腹腔穿刺抽出不凝
The patient, 26 years old, had abdominal pain with 16 weeks of gestation and a sudden syncope for 3 hours and was admitted on May 29, 1995. The last menstrual January 31, 1995, the day before admission had the same night, was feeling upset, but not drama, abdominal pain after 5 hours, significant abdominal distension, sudden syncope after admission to the hospital. Examination: T 37 ℃, P 106 beats / min, R 26 beats / min, BP9.5 / 7kPa. Severe anemia appearance, trance, normal heart and lungs. Abdominal tension, full abdominal tenderness, rebound pain obvious, bowel sounds disappear, Palace under the umbilical 3 fingers, palpable, tenderness is not obvious. Abdominal puncture does not pull out