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患者23岁,住院号10640,于1985年7月17日因不规则阴道流血3个月入院.查体:慢性病容,贫血貌,腹软,右下腹部可扪及鸭卵大囊性肿块,压痛,不活动.妇科检查:子宫平位常大,活动好无压痛,右侧可扪及鸭卵大囊肿,形状不规则,压痛,左侧附件无异常.后穹窿穿刺抽出少许不凝固血液,血红蛋白54g/L.初步诊断:陈旧性宫外孕,继发性贫血.行保守治疗.7月28日因腹痛加重行剖腹探查,术中见子宫正常,右侧输卵管壶腹部紫蓝色呈腊肠型膨大,其后壁有1cm 破口,与周围粘连形成不规则包块,右侧卵巢及左附件正常.腹腔内有游离血液约100ml.分离粘连取出血块,切除增粗的输卵管,手
Patients 23 years old, hospital number 10640, on July 17, 1985 due to irregular vaginal bleeding three months admitted to the hospital Physical examination: chronic disease, anemia appearance, abdominal soft, palpable duodenum in the right lower abdomen cystic mass, Tenderness, inactivity. Gynecological examination: the uterus large flat, good activity without tenderness, the right palpable duck egg cysts, irregular shape, tenderness, the left attachment was normal .After culdocentesis out of a little non-coagulation blood, Hemoglobin 54g / L. Preliminary diagnosis: old ectopic pregnancy, secondary anemia line of conservative treatment .7 July 28 due to increased abdominal pain laparotomy, see the uterus normal during surgery, the right ovarian ampulla purple-blue sausage type dilated , The posterior wall of 1cm break, with the surrounding adhesions to form irregular mass, the right ovary and left attachment normal abdominal cavity with free blood about 100ml isolated adhesions removed blood clots, removal of thick tubal, hand