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忠者,34岁,孕3产2,下腹疼痛3天,加重5小时,于1996年3月6日入院。既往健康,月经周期正常,经期4天。于1992年行输卵管结扎,末次月经1996年2月27日,行经4天,月经干净3天,突然下腹痛,在当地医院抗炎治疗无好转。 入院检查:体温36.5℃,脉搏100次/min,血压14/10kPa。贫血貌,腹部压痛,反跳痛,移动性浊音阳性。 妇查:外阴正常,阴道咖啡色分泌物少许,宫颈举痛,后穹窿饱满,子宫稍大,右侧附件增厚压痛明显,后穹窿穿刺抽出2ml不凝血。B超检查子宫75mm×36mm×46mm大小,子宫右后方见一中等回声光团55mm×36mm×44mm,内回声强弱不等,
Loyalty, 34 years old, 3 pregnant and 2 pregnant, abdominal pain for 3 days, aggravating 5 hours, on March 6, 1996 admitted. Past health, normal menstrual cycle, menstrual 4 days. In 1992, tubal ligation, the last menstrual February 27, 1996, after 4 days, menstrual clean 3 days, suddenly under the abdominal pain, no improvement in the local hospital anti-inflammatory treatment. Admission examination: body temperature 36.5 ℃, pulse 100 beats / min, blood pressure 14 / 10kPa. Anemia appearance, abdominal tenderness, rebound tenderness, mobility dullness positive. Women: normal vulva, vaginal secretions a little brown, cervical pain, after the fornix full, slightly larger uterus, thickening of the right attachment tenderness, culdocentesis out of 2ml blood coagulation. B-ultrasound examination of the uterus 75mm × 36mm × 46mm size, the right rear of the uterus see a medium echo light 55mm × 36mm × 44mm, within the echo strength,