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患者女,31岁。下腹坠痛24小时,1986年12月16日以宫外孕诊断收住妇产科。该患者于38天前妊娠2个月行人流一次。体检:一般情况尚可,腹肌紧张,下腹压痛及反跳痛明显,移动浊音不明显。妇查:阴道通畅,后穹窿不饱满,触痛明显,宫颈摇举痛(-),因腹肌紧张,宫体大小及双侧附件查不清。行后穹窿穿刺,抽出不凝集血液2ml。于当晚在连硬外麻醉下施行剖腹探查术。术中见腹腔游离血液约10ml,宫体如妊娠80天大小,质软,双侧卵巢正常,双侧输卵管伞端有少量陈旧性血液渗出。其它未见异常。考虑为
Female patient, 31 years old. Lower abdominal pain for 24 hours, December 16, 1986 with ectopic pregnancy diagnosed with obstetrics and gynecology. The patient had a pedestrian flow twice a month before pregnancy 38 days earlier. Physical examination: the general situation is acceptable, abdominal muscle tension, abdominal tenderness and rebound tenderness significantly, shifting dullness is not obvious. Women: vaginal patency, posterior fornix not full, tenderness, cervical pain (-), due to abdominal muscle tension, Palace size and bilateral attachment check unclear. After the trip culdocentesis, out of non-condensable blood 2ml. In the evening even with external anesthesia underwent laparotomy. Seen intraoperative abdominal blood about 10ml free, Palace, such as the size of 80 days of pregnancy, soft, normal bilateral ovaries, bilateral tubal umbrella end of a small amount of old blood exudation. No other abnormalities. Considered as