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患者22岁,停经近6个月,腹痛15天加重3天伴晕厥,于1987年8月10日入院。末次月经1987年2月5日。停经40天后有早孕反应,持续数日症状自行消失,停经4个月感胎动,近15天来感下腹隐痛,未就医。1987年8月7日早起突感下腹撕裂样痛,停晕厥两次,阴道有少量流血。查体:T38.2℃,P 102/分,R21/分,Bp110/70mmHg,呈重度贫血貌,表情淡漠,心肺无异常。腹部膨隆,腹肌紧张有压痛反跳痛,子宫界线不清,脐下偏右可触及一包块,有胎体感,未闻及胎心音,移动性浊音(+)。妇科检查:外阴已婚型,阴道有少许血染,后穹窿饱满。宫颈光滑着色、宫口开一指,
Patients 22 years of age, menopause nearly 6 months, 15 days aggravated abdominal pain with syncope 3 days, on August 10, 1987 admitted. The last menstruation February 5, 1987. 40 days after menopause have early pregnancy reaction, the symptoms disappear on their own for several days, 4 months after menopause feeling fetal movement, nearly 15 days to feel abdominal pain, did not seek medical treatment. August 7, 1987 sudden onset of sudden lower abdomen tear pain, stop syncope twice, a small amount of vaginal bleeding. Physical examination: T38.2 ℃, P 102 / min, R21 / min, Bp110 / 70mmHg, was severe anemia, apathy, no abnormal heart and lung. Abdomen bulging, tenderness and abdominal muscle tension rebound tenderness, unclear uterine boundaries, under the umbilical right touch palpable mass, a carcass sense, no smell and fetal heart sound, shifting dullness (+). Gynecological examination: genital married type, vaginal bleeding a little bit, after the dome. Cervical smooth coloring, cervix open a means,