论文部分内容阅读
例1:26岁,已婚,孕_3产_1,因停经42天行人工流产术,术后阴道仍流血。人流术后15天,突感下腹坠胀,似有里急后重感,于1989年11月4日急诊入院。既往月经规则,曾剖腹产1次,人流二次。查体:体温36.8℃,脉搏88次/分,呼吸22次/分,血压100/60mmHg,急性病容,腹平软,下腹压痛、反跳痛,尤以左下腹为甚,移动性浊音(+)。妇检:宫颈举痛,后穹窿饱满,左侧附件触及一包块,压痛明显,后穹窿穿刺抽出不凝血液。立即剖腹探查,术中证实左侧输卵管妊娠流产,腹腔积血400ml,病检报告异位妊娠,经住院治疗痊愈出院。
Example 1: 26 years old, married, pregnancy _3 production _1, due to menopause 42 days abortion, postoperative vaginal bleeding still. 15 days after abortion, sudden sensation of lower abdomen bulge, seems to be tenesmus, in November 4, 1989 emergency admission. Past menstrual rules, had a caesarean section 1, flow twice. Examination: body temperature 36.8 ℃, pulse 88 beats / min, breathing 22 beats / min, blood pressure 100 / 60mmHg, acute disease, abdominal soft, abdominal tenderness, rebound tenderness, ). Gynecological examination: Cervical pain, after the dome is full, the left attachment touches a mass, tenderness, culdocentesis out of non-condensable blood. Immediate laparotomy exploration, intraoperative confirmed tubal pregnancy abortion, ascites 400ml, disease detection ectopic pregnancy, hospital discharge cured.