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患者28岁,住院号29156。于1978年9月10日以孕6月,腹胀痛3天入院。孕4月后自觉胎动,入院前3天因晕厥摔倒一次,之后感骶尾部隐痛,伴腹胀,恶心、呕吐2次,气短不能平卧。近两天来未排便,不排气,阴道少量流血一次。一年前曾在我院门诊诊断为双子宫。查体:T37.5℃,P118次/分,Bp16/10.67kPa。腹部高度膨隆,未见肠型及蠕动波。右下腹压痛明显,腹肌紧张,移动性浊音(+),肠鸣音弱。宫底脐上4指,胎位、胎心不清。宫颈位置较高,宫口可容1指,有少许血性分泌物。以“难免流
Patient 28 years old, hospital number 29156. In September 10, 1978 to June of pregnancy, abdominal pain 3 days admission. Pregnancy in April after conscious fetal movement, 3 days before admission fall due to syncope once, after the sensory pain of the sacrococcygeal, with abdominal distension, nausea, vomiting 2 times, shortness of breath can not lie down. In the past two days has not defecation, no exhaust, a small amount of vaginal bleeding. A year ago in our hospital diagnosed as double uterus. Physical examination: T37.5 ℃, P118 times / min, Bp16 / 10.67kPa. Abdominal bulge, no intestinal and peristaltic waves. Right lower quadrant tenderness significantly, abdominal muscle tension, mobility dullness (+), bowel sounds weak. Uterus at the end of 4 refers to the uterus, fetal position, fetal heart unclear. Cervical higher position, the cervix can accommodate a finger, a little bloody discharge. With "inevitable flow