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患者28岁,住院号8653。患者1987年11月3日6时许起床时,突然觉右下腹绞痛,半小时后转为持续性钝痛,阵发性加剧,服“索密痛”后稍缓解。11月5日早饭后,又觉腹痛加剧,恶心呕吐一次,10时来院就诊。该患产后8个月,末次月经10月13日,既往未发现下腹包块。检查:表情痛苦,辗转不安,T37℃,P80次/分,Bp16.0/10.7Kpa(120/80mmHg)。右下腹轻度肌紧张,有压痛及反跳痛。子宫体右上方可触及一6×7cm囊性包块,界限清楚,有触痛,移动浊音(一),壁较厚,张力较大,硬度不均。与宫体不能分开触痛明显,左侧附件区正常。“B”超诊断:左侧卵巢囊肿蒂扭转。当日下午在硬膜外麻醉下行剖腹探查术,术中
Patient 28 years old, hospital number 8653. Patient at 6 o’clock on the November 3, 1987 when getting up, I suddenly felt right lower quadrant colic, half an hour into persistent dull pain, paroxysmal aggravation, serving “Sommet pain” slightly relieved. November 5 after breakfast, but also feel aggravating abdominal pain, nausea and vomiting once, 10 at the hospital. The affected postpartum 8 months, the last menstrual October 13, never found lower abdominal mass. Check: the expression of pain, tumbled, T37 ℃, P80 beats / min, Bp16.0 / 10.7Kpa (120 / 80mmHg). Right lower quadrant mild muscle tension, tenderness and rebound tenderness. Uterus right upper body can reach a 6 × 7cm cystic mass, clear boundaries, tenderness, shifting dullness (a), wall thicker, larger tension, uneven hardness. With the palace can not separate the tenderness obviously left attachment area is normal. “B” super-diagnosis: left ovarian cyst torsion. On the afternoon of the epidural anesthesia underwent laparotomy, intraoperative