论文部分内容阅读
患者24岁,孕24周。因少量阴道流血三天,下腹剧痛一天,于93年5月4日入院。 患者孕3产2,孕期正常,无外伤史。于一天前突然下腹部剧痛渐波及全腹。 检查:T35℃,P90次/分,R20次/分,BP12/8kPa,急性痛苦病容,贫血貌,神清。心肺(-)。下腹部膨降,全腹压痛,反跳痛,尤以下腹部及脐周围部明显。腹肌紧张,移动性浊音(±)。产科检查:宫底脐平,轮廓欠清楚,胎位,胎心不清,阴道有少量流血,
The patient was 24 years old and 24 weeks pregnant. Due to a small amount of vaginal bleeding for three days, abdominal pain a day, on May 4, 1993 admitted. 3 patients with pregnancy 3, normal pregnancy, no history of trauma. Suddenly lower abdomen pain suddenly a day before the full wave. Check: T35 ℃, P90 beats / min, R20 beats / min, BP12 / 8kPa, acute pain disease, anemia appearance, Shen Qing. Cardiopulmonary (-). Lower abdominal swelling, full abdominal tenderness, rebound tenderness, especially in the lower abdomen and umbilical significantly. Abdominal tension, mobility dullness (±). Obstetric examination: Umbilical flat bottom of the palace, the outline is not clear, fetal position, fetal heart rate is clear, a small amount of vaginal bleeding,