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患者,24岁,以停经15~(+3)周,左下腹剧痛9h之主诉,于1997年1月30日8Pm急诊入院。既往月经规律,LMP1996年10月12日,停经40d出现恶心、择食等早孕反应,持续2周未治自愈。2d前B超检查提示:双子宫,3~(3+)月妊娠。入院前9h突感左下腹撕裂样疼痛,阵发性加重,伴恶心、呕吐2次,突然晕厥。在当地医院对症处理后急转我院。查体:T36.2℃,脉搏不清,R30次/min,BP0/0kPa,神
The patient, 24 years old, was admitted to an 8Pm emergency hospital on January 30, 1997, with a chief complaint of menopause 15 to (+3) weeks and a left lower quadrant pain 9h. Past menstrual regularity, LMP October 12, 1996, menopause 40d nausea, choice of food and other early pregnancy reactions, sustained for 2 weeks without cure. 2d before the B-ultrasound tips: double uterus, 3 ~ (3 +) month of pregnancy. 9h preemphasis on left lower quadrant tear-like pain before admission, paroxysmal aggravated, with nausea, vomiting 2 times, suddenly syncope. Symptomatic treatment in the local hospital after the emergency hospital. Physical examination: T36.2 ℃, pulse is not clear, R30 times / min, BP0 / 0kPa, God