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患者24岁,住院号156231,因停经54天,阴道不规则少量流血14天,刮宫术后腹痛2天,加重一小时急诊入院。患者停经41天诊为先兆流产即行保胎治疗10余天无效后行刮宫术,刮出组织中可见绒毛,术后阴道流血停止但随即出现腹痛,持续2天并逐加重,体检右下腹压痛,反跳痛,移动性浊音(+),穹窿饱满,触痛,后穹窿穿刺抽出陈旧不凝血5ml,B超诊为宫外孕破裂出血,入院后急诊剖腹探查,见右输卵管与卵巢粘连,壶腹部增粗约cm:4×4×8,紫黑色,未破,伞端可见活动性出血:腹腔内有陈血约800ml,术后病检为右输卵管
24-year-old patient, hospital admissions 156231, 54 days due to menopause, vaginal irregular small amount of bleeding 14 days, curettage abdominal pain after 2 days, increased one hour emergency admission. Patients with menopause 41 days diagnosed as threatened abortion that line miscarriage treatment more than 10 days invalid curettage after curettage, visible tissue villus, postoperative vaginal bleeding stopped but then abdominal pain, continued for 2 days and by weight, physical examination right lower quadrant tenderness, anti (+), Fornix full, tenderness, culdocentesis out of the old non-clotting 5ml, B ultrasound diagnosis of ectopic pregnancy bleeding rupture, post-hospital emergency laparotomy, see the right tubal and ovarian adhesions, ampulla thickened About cm: 4 × 4 × 8, purple black, not broken, the umbrella side of the visible bleeding: Chen blood in the abdominal cavity of about 800ml, postoperative examination for the right fallopian tubes