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患者谭××,女,28岁,已婚,工人。1980年元月2日上午11时入院。病人平素健康,因第一胎产后哺乳期受孕,自觉胎动已四月余,无任何诱因,突然中、上腹部剧烈疼痛,向腰背部放射,阵发性加剧伴恶心、呕吐三小时,误认为临近分娩而收入产科待产。经产科观察,无临产征象,而腹痛持续不缓解,下午,疼痛转至脐周及腰背部,呕吐频繁而转入外科。体检:体温37℃,脉搏80次/分,呼吸24次/分,血压110/80毫米汞柱。发育正常,营养中等,神清,急性痛苦面容,呻吟,强迫俯卧位,辗转反侧。皮肤巩膜无黄染,心肺听诊无异常。腹部膨隆,宫底剑突下三横指,胎心音好,
Patient Tan XX, F, 28 years old, married, worker. January 2, 1980 January 11 at admission. Patient usually healthy, because the first child postpartum lactation conception, conscious fetal movement has more than four months, without any incentive, suddenly, severe abdominal pain, radiation to the lower back, paroxysmal exacerbations with nausea, vomiting three hours, mistaken for Proximity to childbirth and income obstetric to be produced. Obstetric observation, no signs of labor, and abdominal pain continued to not ease, afternoon, pain to the umbilical and lower back, frequent vomiting and transferred to surgery. Physical examination: body temperature 37 ℃, pulse 80 beats / min, breathing 24 beats / min, blood pressure 110/80 mmHg. Normal development, moderate nutrition, clear, acute pain face, moaning, forced prone position, tossing and contralateral. Skin sclera without yellow dye, cardiopulmonary auscultation no abnormalities. Abdominal bulging, the bottom of the sword under the three horizontal cross refers to the fetal heart sound good,