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病历摘要患者32岁,农民。住院号12445,孕1产1。于1989年7月23日因产后5天,腹痛5天入院。患者于5天前在我院自然分娩一名孕足月女性活婴,分娩过程中有人为按压宫底以增加腹压病史,产时产后流血不多,产后当日出院。出院后即感觉腹部疼痛,呈阵发性自以为产后宫缩痛未经治疗,但腹痛逐渐加重呈持续性。伴恶心,有时发热而来诊。入院查体:Bp15/11,P84,神志清,表情痛苦,贫血貌,心肺听诊正常,脐周皮肤有瘀血斑,全腹均有压痛、反跳痛及肌紧张,但以左下腹为明显,宫底脐平有压痛,内诊查左侧阴道壁上部似有一囊性包块,其上界不
Patient 32 years old, farmer. Hospital number 12445, 1 pregnant and 1. July 23, 1989 due to postpartum 5 days, abdominal pain 5 days admitted. Patients in our hospital 5 days ago natural delivery of a pregnant full-term female live births, during labor someone pressed the bottom of the palace to increase the history of abdominal pressure, postpartum small amount of labor during childbirth, postpartum day discharge. Feeling abdominal pain after discharge, was paroxysmal self-abortion that pain untreated postpartum, but gradually increased abdominal pain was sustained. With nausea, fever and sometimes visit. Admission examination: Bp15 / 11, P84, clear mind, facial expression pain, anemia, cardiopulmonary auscultation, umbilical skin with bleeding spots, all abdominal tenderness, rebound tenderness and muscle tension, but the left lower quadrant was obvious , Umbilical flat uterus tenderness, the inner part of the left vaginal wall seems to have a cystic mass, the upper bound is not