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女,30岁,下腹剧痛1小时,于1985年12月3日12时半急诊入院。患者当天上午11时多在步行途中突然下腹部疼痛,持续性加剧,伴头晕、噁心、心翳、痛时出冷汗,即到我科急诊,以腹痛待查收入院。末次月经11月12日,6天干净,色量如前。昨晚有性交史,事后下腹隐痛;今日大便一次,量少,结,月经一向尚准,初潮12岁,6/30～35,量稍多,少许血块,无痛经;24岁结婚,孕3产2,足月顺产一男一女,1983年人工流产一次,术后放环至今2年多。体查:体温37℃,脉搏80次,呼吸22次,血压100/60,心肺(-),腹软,肝脾未扪及,下腹部压痛(+)。妇科检查:外阴、阴道正常,白带无异味,子宫颈轻度糜烂、充血,可见环尾1.5cm,子宫体前位,大小正常,压痛(+),右附件压痛(+),左附件紧张,增厚明显,压痛(+),后穹窿触痛明显,余未扪及异常包块。
Female, 30 years old, abdominal pain 1 hour, on December 3, 1985 at half past half emergency admission. Patients at 11 o’clock in the morning more than sudden abdominal pain in the middle of the walk, continued to intensify, with dizziness, nausea, tingling, pain when a cold sweat, that is, to our emergency department to abdominal pain to be admitted to hospital. The last menstrual November 12, 6 days clean, the amount of color as before. Last night, there is a history of intercourse, abdominal pain after excesses; today’s stool, less, knot, the menstrual has always been accurate, menarche 12 years old, 6/30 ~ 35, a little more, a little blood clots, no dysmenorrhea; 24-year-old married, pregnant 3 Production 2, full-term one man and one woman abortion, abortion in 1983 once, since the release ring more than 2 years. Physical examination: body temperature 37 ℃, pulse 80 times, breathing 22 times, blood pressure 100/60, cardiopulmonary (-), abdominal soft, liver and spleen not palpable, lower abdominal tenderness (+). Gynecological examination: vulva, vaginal normal, vaginal discharge no smell, mild erosion of the cervix, congestion, visible ring tail 1.5cm, uterine anterior, normal size, tenderness (+), right attachment tenderness (+), left attachment tension, Significant thickening, tenderness (+), after the vault tenderness significantly, I have not palpable abnormal mass.