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患者26岁,住院号891101.妊娠33~(+4)周.因下腹部持续疼痛3天,加重1天伴发热于1989年8月17日入院.患者平素体健,孕期无异常.1983年剖宫产分娩一男婴,健在.查体:T39℃,P 120次/分,R26次/分,Bp 13.3/8kPa,急性痛苦面容,下腹正中见12cm 手术疤痕,宫高28cm,腹围88cm,全腹肌紧张,压痛反跳痛(+),宫缩触不清,阴道无血性分泌物,宫颈管未容受,胎膜未破,先露头,高浮,胎心率160次/分.Hb 100g/L,WBC 2.48×10~9/L,N 0.94,L0.06,以弥漫性腹膜炎的诊断行剖腹探查术.术前30
Patient 26 years old, hospital number 891101. Pregnancy 33 ~ (+4) weeks due to persistent pain in the lower abdomen for 3 days, one day exacerbation fever with admission on August 17, 1989. Patients usually no health abnormalities during pregnancy. Cesarean section delivery of a baby boy, the body in. Examination: T39 ℃, P 120 beats / min, R26 beats / min, Bp 13.3 / 8kPa, acute pain face, see the lower abdomen in the middle of 12cm surgical scar, 28cm high, abdominal circumference 88cm, All abdominal muscle tension, tenderness and rebound tenderness (+), uterine contractions, vaginal bloodless secretions, cervical canal unbearable, fetal membranes are not broken, the first outcrop, high float, fetal heart rate 160 beats / min. Hb 100g / L, WBC 2.48 × 10 ~ 9 / L, N 0.94, L0.06, with laparotomy for diagnosis of diffuse peritonitis.