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杨胜米(赤脚医生):分析这个病案,从病史和检查方面来看:1.有停经史;2.有腹膜刺激征;3.右下腹有撕裂样疼痛,阴道有少量不规则流血;4.有移动性浊音,阴道后穹窿穿刺有不凝血液。根据以上四点我们应当想到三个病:1.子宫外孕;2.流产;3.阑尾炎。流产:有停经史、有腹痛、有阴道流血,但后穹窿穿刺是阴性,也不会有腹膜刺激征。结合此患者的病史和检查不象是流产。阑尾炎:阑尾点有压痛及反跳痛,但无停经史、无阴道流血,全身应有炎症性反应如发热、白细胞增
Yang Shengmi (barefoot doctor): Analysis of the medical record, from the history and examination aspects: 1. Have a history of menopause; 2. Peritoneal irritation; 3. Right lower quadrant tear-like pain, vaginal bleeding a small amount of irregular; 4. Have mobility dullness, vaginal posterior fornix puncture non-condensable blood. According to the above four points we should think of three diseases: 1. Ectopic pregnancy; 2. Abortion; 3. Appendicitis. Abortion: a history of menopause, abdominal pain, vaginal bleeding, but after posterior fornix puncture is negative, there will be no signs of peritoneal irritation. Combined with the patient’s history and examination does not seem like abortion. Appendicitis: appendicitis tenderness and rebound tenderness, but no history of menopause, no vaginal bleeding, the body should have inflammatory reactions such as fever, leukocytosis