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1 病历摘要患者,35岁,孕4产2,于1997年4月9日因停经50天,突感下腹部撕裂样疼痛伴呕吐、头昏、晕厥2次,历时4小时后急诊入院。该员系产后10个月,产褥期后2个月月经复潮,量少,不规则。查体:T35.4℃,Bp7/4kPa,神志恍惚,重度贫血貌,心率120次/min,脉搏细弱,腹膨隆,压痛、反跳痛阳性,移动性浊音阳性。妇检:阴道畅,后穹窿饱满,宫颈举痛阳性,宫体平位,偏大,漂浮感。腹腔穿刺抽出
1 patient summary of patients, 35 years old, 4 pregnant and 2, on April 9, 1997 due to menopause 50 days, suddenly felt lower abdominal tearing pain accompanied by vomiting, dizziness, syncope 2 times, which lasted 4 hours after emergency admission. The staff postpartum 10 months, 2 months after puerperal menstruation tidal volume, less, irregular. Examination: T35.4 ℃, Bp7 / 4kPa, trance, severe anemia, heart rate 120 beats / min, pulse weak, abdominal bulging, tenderness, rebound pain positive, shifting dullness positive. Gynecological examination: vaginal Chang, full dome after the cervix, pain-positive, Palace level, large, floating sense. Abdominal puncture out