论文部分内容阅读
患者40岁,已婚,住院号145931。两月前尿频尿急,同时发现下腹包块,月经无变化。平素健康,末次月经为1987年1月1日。足月分娩3次,1975年行腹式绝育术。以子宫肌瘤诊断于1987年1月8日入院。查体:一般状况良,T36.3℃,P74次/分,Bp120/80mmHg,心肺正常,腹平软,肝脾不大。妇科检查:外阴及阴遭正常,宫颈光滑,子宫近新生儿头大,质硬,光滑,活动良,双附件正常。化验:Hbl30g/L,WBC8.3×10~9/L,肝功正常,临床诊断子宫肌瘤。于1987年1月14日在硬膜外麻醉下行经腹子宫全切术。手术顺利,但因麻醉较浅,腹壁松弛欠佳,术中呕吐3次,手术持续时间1小时30分。术后第一天觉腹胀,上腹痛,恶心、呕吐,吐物为胃液及胆汁,未排气。术后第三天上腹胀痛加重,
Patient 40 years old, married, hospital number 145931. Urinary urgency two months ago, while found the lower abdomen mass, no change in menstruation. Usually healthy, the last menstruation January 1, 1987. Full-term delivery 3 times, 1975 abdominal sterilization. Uterine fibroids diagnosis in January 8, 1987 admission. Physical examination: general good condition, T36.3 ℃, P74 times / min, Bp120 / 80mmHg, normal heart and lungs, abdominal soft, small spleen and liver. Gynecological examination: vulva and yin were normal, smooth cervix, uterine newborn head large, hard, smooth, good activity, double attachment normal. Laboratory tests: Hbl30g / L, WBC8.3 × 10 ~ 9 / L, normal liver function, clinical diagnosis of uterine fibroids. January 14, 1987 undergoing epidural hysterectomy with total hysterectomy. The operation was smooth, but due to shallow anesthesia, poor abdominal wall relaxation, intraoperative vomiting 3 times, the duration of surgery 1 hour and 30 minutes. Abdominal distension on the first day after surgery, abdominal pain, nausea, vomiting, spit objects for the gastric juice and bile, not exhaust. The third day after abdominal pain aggravated,