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病历介绍马某,女,32岁。突然下腹剧痛9小时,于1989年11月2日5时急诊入院。患者月经初潮17岁,平时周期不规则,2～3个月一次,量中等。21岁结婚,1981年足月顺产一男活婴。宫内置环7年。末次月经1989年9月23日。入院前半个月阴道不规则出血超月经量,混有血块,持续10余天,经透环位置正常。于11月1日晚8时在田间劳动突然下腹部剧痛、肛门坠胀、伴晕厥2次,经当地医院抢救后转我院。体检:
Medical records introduced Mamou, female, 32 years old. Suddenly abdominal pain nine hours, at 5:00 on November 2, 1989 emergency admission. Patients with menarche 17 years old, usually irregular cycle, 2 to 3 months, the amount of medium. 21-year-old married, full-term birth in 1981, a male living baby. Palace built ring 7 years. The last menstruation September 23, 1989. Two weeks before admission, irregular vaginal bleeding super-menstruation, mixed with blood clots, lasted more than 10 days, the location of the normal through the ring. In the evening of November 1 at 8 o’clock in the field suddenly abdominal pain, anus bulge, with syncope 2 times, the hospital was transferred to the hospital after the rescue. Physical examination: