论文部分内容阅读
例1,32岁。患者于月经周期第19天房事后突发下腹部疼痛,呕吐,肛门坠胀。平时月经正常。1-0-1-1。体检:下腹部压痛及反跳痛明显。妇科检查:阴道后穹窿饱满触痛,宫颈有举痛。子宫正常大小,有触痛。左侧附件触及包块,触痛明显。后穹窿穿刺抽出不凝血5ml。拟诊卵巢黄体破裂出血。术中见左侧卵巢增大,有2cm大血肿,其上有0.5cm破裂口,可见活动性出血。腹腔积血约300ml。行左侧附件切除术。术后病理诊断:卵巢黄体血肿破裂出血。
Cases of 1,32 years old. Patients in the menstrual cycle 19 days after the sudden onset of abdominal pain, vomiting, anus bulge. Normal menstruation usually normal. 1-0-1-1. Physical examination: lower abdominal tenderness and rebound tenderness significantly. Gynecological examination: vaginal fornix full tenderness, cervical pain. Normal size of the uterus, tenderness. The left attachment touches the mass with obvious tenderness. After culdocentesis does not clot 5ml. Probable ovarian lupus rupture bleeding. Surgery, see the left ovary increased, there 2cm large hematoma, 0.5cm rupture on it, showing active bleeding. About 300ml of hemoperitoneum. Line left attachment excision. Postoperative pathological diagnosis: rupture of ovarian luteal hemorrhage.