病历简要:患者27岁,孕1产1(7个月前剖宫产)。近因停经50多天,有妊娠反应伴阴道流血,尿TT试验阳性,在外院前后2次行人流吸宫术,均未吸出绒毛,症状未见改善,2次“B”超均诊断“宫外孕”于1993年12月21日收治。 体检:T36.2℃,P84次/分,R20次/分,BP14/10kPa(105/75mmHg)。面色稍苍白,心肺(-),腹平、软、下腹部轻度压痛,肝脾未触及。妇检:后穹窿饱满、突起,质地中等,触痛(-)。 Brief medical history: Patient 27 years old, pregnant 1 1 (cesarean section 7 months ago). Nearly due to menopause for more than 50 days, a pregnancy reaction with vaginal bleeding, urine TT test was positive, outside the hospital before and after 2 pedestrian flow suction uterus, were not aspiration, no improvement in symptoms, 2 “B” ultra-average diagnosis of “ectopic pregnancy ”December 21, 1993 admitted. Physical examination: T36.2 ℃, P84 beats / min, R20 beats / min, BP14 / 10kPa (105 / 75mmHg). Pale pale looking, cardiopulmonary (-), abdominal flat, soft, mild abdominal tenderness, liver and spleen not touched. Gynecological examination: after the dome of the dome, protruding, medium texture, tenderness (-).