论文部分内容阅读
1 病历摘要患者,女,43岁。已做粘堵绝育术10年余,平素无停经史,持续性下腹痛1天,疼痛加剧5小时伴有肛门下附感急诊入院。患者曾在4天前有下腹隐痛,在地方医院拟诊为盆腔炎,应抗炎后症状消失。体检:T 36.5℃,P 88次/min,R 23次/min,BP 15/9kPa。神清,痛苦面容,自动体位,心肺(—),腹部平坦,有腹卫现象,未触及肝脾,下腹部压痛反跳疼明
1 medical record summary patient, female, 43 years old. Clogged sterilization has been done more than 10 years, usually without stop history, persistent lower abdominal pain 1 day, pain aggravated 5 hours accompanied by anus attached to the emergency room admission. Patients had lower abdominal pain 4 days ago, in the local hospital to be diagnosed as pelvic inflammatory disease, anti-inflammatory symptoms should disappear. Physical examination: T 36.5 ℃, P 88 times / min, R 23 times / min, BP 15 / 9kPa. Shen Qing, painful face, automatic position, cardiopulmonary (-), flat abdomen, belly Wei phenomenon, did not touch the liver and spleen, abdominal tenderness rebound pain Ming