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患者:女、37岁、农民。主因下腹痛7年余,加重5天,停经43天。于1990年3月7日入院。患者于1983年始下腹隐痛。时有下坠感,小便时加剧,无尿频尿急感。曾间断服消炎药,症状时轻时重,此次90年3月2日突然左下腹钝痛,伴少量阴道出血,如月经量,5天后阴道出血减少,下腹痛加剧,便意感,来院。既往史8年前行双侧输卵管结扎术.末次月经1990年1月20日,平素月经30天/3天。查:T:36.6℃,P 84次/分,BP14/8kPa,发育正常、体
Patient: Female, 37 years old, farmer. Mainly due to abdominal pain for more than 7 years, aggravating 5 days, menopause 43 days. In March 7, 1990 admission. The patient started abdominal pain in 1983. When there is a sense of falling, exacerbation of urination, urinary frequency urgency. Have intermittent to take anti-inflammatory drugs, light symptoms when the weight, the second on March 2, 90 suddenly left lower quadrant dull pain, with a small amount of vaginal bleeding, such as menstrual flow, vaginal bleeding after 5 days to reduce the lower abdominal pain aggravate the sense of meaning to the hospital. Previous history of bilateral tubal ligation 8 years ago. The last menstrual January 20, 1990, usually menstruation 30 days / 3 days. Check: T: 36.6 ℃, P 84 beats / min, BP14 / 8kPa, normal development, body