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例1.患者28岁,住院号205747.以突然腹痛1小时于1981年3月26日入院.患者取环后末次月经不清,流血两天,量少,色暗.于入院行淋浴时,下腹突然剧痛,伴恶心、呕吐,肛门坠感.查体:Bp13.3/8kPa,P88次/分,表情痛苦,面色苍白,大汗,腹胀满,肌抵抗(+),右下腹有明显压痛及反跳痛,未触及包块,移动浊音(+),肝脾触不清.妇检:外阴无异常,阴道有少量血液,后穹窿饱满有触痛,宫颈举痛明显,子宫前位稍大,左侧触及6×4×4cm 包块,界限不清,拒按.疑为宫外孕内出血急诊手术.术中见左输卵管壶腹部增粗,约5×25×2.5cm,并有0.5×0.7cm 破口,手术进行约7分钟时,病人呼吸心跳骤停,经正压给氧,心内注射肾上腺素0.2ml,体外心脏按摩,5分钟后复苏,30分钟后血压
Example 1. Patient 28 years old, hospital number 205747. A sudden abdominal pain for 1 hour was admitted to hospital on March 26, 1981. After the patient took the ring the last menstruation, bleeding for two days, the amount of less, dark color in the hospital shower, Acute abdominal pain, nausea, vomiting, anal fall. Examination: Bp13.3 / 8kPa, P88 beats / min, facial expression pain, pale, sweating, abdominal fullness, muscular resistance Tenderness and rebound tenderness, did not touch the mass, moving dullness (+), hepatosplenosis palpable.Family: no abnormal vulva, a small amount of blood in the vagina, after the fornix full tenderness, cervical pain was obvious, the uterus before Slightly larger, touching the left side of 6 × 4 × 4cm mass, the boundary is unclear, refused to press .Epidemic ectopic pregnancy bleeding surgery .Operation see the left fallopian tube Ampulla thickened about 5 × 25 × 2.5cm, and 0.5 × 0.7cm break, surgery for about 7 minutes, the patient respiratory arrest, after positive pressure oxygen, intracardiac injection of epinephrine 0.2ml, external cardiac massage, recovery after 5 minutes, 30 minutes after the blood pressure