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钟××,30岁,住院号74139。停经2个月,末次月经1984年12月13日,停经后有恶心等早孕反应,下腹痛10天,以右下腹为重,近3天疼痛加重,为阵发性绞痛,肛门坠胀,并不规则阴道少量流血,门诊诊断宫外孕于1985年2月12日入院。入院前一天曾在他院就诊,查hCG(+),疑为宫外孕。患者月经初潮14岁,周期不规则,量中等。19岁结婚,1975年足月顺产一子,其后未采取避孕措施亦未受孕,经常感下腹隐痛。检查:T36.4℃,P76次/分,Bp90/60mmHg,表情痛苦,轻度贫血貌,心肺正常,腹平,全腹有压痛及反跳痛,以右下腹为重,肌卫不明显,移动性浊音(+)。妇科检查:阴道有少许血液,宫颈光滑,触痛、摇举痛明显,子宫轮廓不清,后穹窿稍
Bell × ×, 30 years old, hospital number 74139. Menopause 2 months, the last menstrual December 13, 1984, nausea and other early menopausal reactions after menopause, lower abdominal pain for 10 days to the right lower quadrant as the heavier pain in the past 3 days for paroxysmal colic, anus bulge, A small number of irregular vaginal bleeding, outpatient diagnosis of ectopic pregnancy in February 12, 1985 admission. The day before admission in his hospital for treatment, check hCG (+), suspected ectopic pregnancy. Patients with menarche 14 years old, irregular cycle, the amount of medium. 19-year-old married, born in 1975 full-term child, did not take contraception nor pregnancy, often feel abdominal pain. Check: T36.4 ℃, P76 times / min, Bp90 / 60mmHg, facial expression pain, mild anemia appearance, normal cardiopulmonary, abdominal flat, abdominal tenderness and rebound tenderness, right lower quadrant weight, muscle and Wei is not obvious, Mobility (+). Gynecological examination: a little vaginal blood, cervix smooth, tenderness, shake pain was obvious, uterine outline is unclear, posterior fornix slightly