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患者,女,35岁。主因阵发性腹痛,伴恶心呕吐48小时未排气排便,急诊入院。月经正常,孕4产2,人流2。第一胎产后口服避孕1号,4年停服药后怀第二胎。产后一年到乡卫生院上金属节育环,上环后未查过环位。2年后未发现脱环怀孕50天到卫生院要求人流术。术者未感到宫腔有金属物感。以后便采取避孕套避孕2年,避孕失败再次怀孕40天,又到卫生院行人流术,术中仍未感到金属物感,当时子宫收缩良好,上23号金属环一枚。平素无不适感,也未查过环位。查体:腹肌紧张,下
Patient, female, 35 years old. Main due to paroxysmal abdominal pain, nausea and vomiting 48 hours without exhaust defecation, emergency admission. Normal menstruation, pregnancy 4 2, flow 2. The first child postpartum oral contraception on the 1st, 4 years after taking the drug pregnant with a second child. One year after delivery to the township hospital on metal IUD, did not check the ring after the ring. 2 years after the discovery of de-loop pregnancy 50 days to the hospital for abortion. The surgeon did not feel the metallic uterine cavity feeling. After taking contraceptive contraception for 2 years, pregnancy contraception failure again 40 days of pregnancy, went to the hospital flow of pedestrians, surgery has not felt the metal object sense, when the contraction of the uterus is good, a metal ring on the 23rd. Usually no discomfort, nor checked ring. Physical examination: abdominal muscle tension, under