论文部分内容阅读
患者,30岁,1981年4月22日上午9时急诊入院。停经71天,阴道间断出血伴腹痛7天。3天前曾因腹痛去厕所昏迷3次。检查:BP60/20mmHg,P140次/分,神志不清,贫血貌,心肺正常,全腹膜炎体征,移动浊音(+)。妇科内诊阴道少许陈旧血,宫颈举痛(+),子宫体略大,软,漂浮感,右侧附件区饱满,触痛(+),左下腹部穿刺,抽出陈旧不凝血,初步诊断:宫
Patient, 30 years old, emergency attendance at 9 am on April 22, 1981. 71 days after menopause, intermittent vaginal bleeding with abdominal pain for 7 days. 3 days ago because of abdominal pain to the toilet coma 3 times. Check: BP60 / 20mmHg, P140 beats / min, confusion, anemic appearance, normal cardiopulmonary, peritonitis signs, shifting dullness (+). Gynecological internal vagina a little old blood, cervical pain (+), uterine body slightly larger, soft, floating sense of the right annex area full of tenderness (+), left lower quadrant puncture, out of the old non-coagulation, the initial diagnosis: Palace