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患者21岁,未婚。1995年元月5日因腹痛伴头晕半天,晕厥一次入院。末次月经1994年12月10日,否认性生活史。无外伤史。无肝病史。查体:T 36.5℃,P 120次/分,BP 10/8kPa,重度贫血貌,皮肤巩膜无黄染。心肺无异常。腹微隆起,全腹压痛反跳痛,无明显肌紧张。未触及明显包块。肝脾触诊不满意。移动性浊音阳性。妇科情况:外阴正常,处女膜无明显破
The patient is 21 years old and unmarried. January 5, 1995 due to abdominal pain with dizziness for a long time, a syncope admitted to hospital. The last menstruation December 10, 1994, denied sexual life history. No history of trauma. No history of liver disease. Physical examination: T 36.5 ℃, P 120 beats / min, BP 10 / 8kPa, severe anemia, skin sclera no yellow dye. No abnormal heart and lung. Abdomen slightly uplift, full abdominal tenderness rebound pain, no significant muscle tension. No obvious mass was touched. Not satisfied with liver and spleen palpation. Mobility positive. Gynecological conditions: normal vulva, hymen no obvious break