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患者35岁,住院号456005,G_2P_1~(+1),末次月经1987.9.11。因阵发性左下腹隐痛,伴恶心呕吐7天,加重2小时于1987.10.9入院。查体:脉细数不清,BP6.6/4.2kPa,面色苍白,被动体位,肢冷,心肺(一),腹略膨隆,肌卫,压痛和反跳痛以左下腹为甚,移浊(+)。后穹窿丰满,宫颈着色,举痛,子宫及附件扪不清,后穹窿穿刺抽出1ml不凝血。Hb.100g/LWBC.16400个/mm~3。既往月经13 (2—3)╱(30—35),量中,末次月经同往常,无组织块等,放置避孕环已10年。疑黄
Patient 35 years old, hospital number 456005, G_2P_1 ~ (+1), the last menstrual period 1987.9.11. Due to paroxysmal left lower abdominal pain, with nausea and vomiting for 7 days, increased 2 hours admitted to hospital in 1987.10.9. Physical examination: pulse breakdown, BP6.6 / 4.2kPa, pale, passive position, cold limbs, heart and lung (a), bulging abdomen, muscle Wei, tenderness and rebound tenderness to the left lower quadrant is even more, (+). After the culvert plump, cervical coloring, pain, uterus and attachment palpable, culdocentesis 1ml out of coagulation. Hb.100g / LWBC.16400 / mm ~ 3. Previous menstrual 13 (2-3) / (30-35), the amount of the last menstrual with the usual, no tissue block, the placement of the ring has been 10 years. Suspected yellow