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患者24岁,住院号901573.末次月经1990年6月28日,因停经40天,有早孕反应,在外院妇科检查为宫内早孕.于1990年8月10日上午来我院门诊要求作人工流产术.妇科检查:宫颈着色,子宫水平位,如孕40天大小,质稍软,附件正常.诊断为早孕行吸宫流产术.手术按常规步骤进行。顺利探查,宫腔深9cm,手术近结束时患者诉心窝部疼痛.考虑人流综合征或/及胃痛引起,给10%颠茄合剂10ml 口服无效,送观察室卧床休息并肌注阿托品1mg,术后1小时上述症状加重,面色苍白、全下腹疼痛、头晕、心慌、脉搏120次/分、细弱,血压9.3/6.7kPa,全下腹压痛,左侧为甚,腹穿抽出不凝固血液10ml.考虑为“子宫穿
24-year-old patient, hospital number 901573. The last menstrual June 28, 1990, due to menopause 40 days, there is a response to early pregnancy, gynecological examination outside the hospital for early pregnancy in the morning of August 10, 1990 came to our hospital for artificial labor Abortion. Gynecological examination: cervical coloring, uterine level, such as the size of 40 days of pregnancy, slightly soft quality, normal attachment. Diagnosis of early abortion aspiration abortion. Surgery according to routine steps. Smooth exploration, uterine cavity depth 9cm, near the end of surgery patients complained about the pain in the fossa.Considering the flow syndrome and / or stomach pain caused by 10% belladonna mixture 10ml orally invalid, send the observation room to bed rest and intramuscular injection of atropine 1mg, 1 hour after the above symptoms, pale, all abdominal pain, dizziness, palpitation, pulse 120 beats / min, thin, blood pressure 9.3 / 6.7kPa, the whole lower abdomen tenderness, left side is even, For "uterine wear