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[病例摘要] 例1:张××,28岁,孕3产1。因下腹部坠痛并逐渐加重2天于1985年9月18日来院急诊。患者于1985年7月14日因妊娠两月余在某医院行人工流产负压吸宫术,术中自觉腹痛明显,术后第3天阴道出血停止。两天前(术后50天)无诱因出现下腹痛,特点是逐渐加重,伴有排尿痛,但未呕吐和晕厥。追问其既往月经周期并不规律,28～60天不等。查体:体温36.5℃,脉搏84次/分,血压110/70毫米汞柱。痛苦面容。心肺未见异常。腹部平坦柔软,仅下腹部
[Case Summary] Example 1: Zhang × ×, 28 years old, pregnant 3 produce 1. Due to lower abdomen pain and gradually aggravating 2 days in September 18, 1985 to hospital emergency. Patients on July 14, 1985 due to pregnancy in a hospital for more than two abortion vacuum abortion in a hospital, intraoperative abdominal pain was significantly, vaginal bleeding stopped after 3 days. Two days ago (postoperative 50 days) no incentive to lower abdominal pain, characterized by gradual aggravating, accompanied by painful urination, but not vomiting and syncope. Asked about its previous menstrual cycle is not regular, ranging from 28 to 60 days. Physical examination: body temperature 36.5 ℃, pulse 84 beats / min, blood pressure 110/70 mm Hg. Painful face. Heart and lung no abnormalities. Flat and soft abdomen, only lower abdomen