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腹部卒中(abdominal apoplexy)是一种较少见的急腹症。现将怀化市医院(3例)、保康县医院(2例)及东丰县医院(1例)的来稿综合报道如下。例1.32岁,住院号42142。人流术后30天,腹痛24小时,阵发加剧5小时,于1988年4月13日急诊入院。体检:T37℃,P86次/分,Bp13.3/8.0kPa(100/60mmHg)。腹部饱满,全腹均有压痛及反跳痛,以脐下及右下腹明显,肌卫(+),移动性浊音(+)。妇检:阴道无流血,宫颈举痛明显,海格氏征(-),宫体大小及位置不清,穹窿饱满。后穹窿穿刺抽出鲜红不凝血2ml。Hb110g/L,WBC9.2×10~9/L,S0.7,出凝血时间及血小板正常,尿hCG(-),ESR23mm/h。拟诊宫外孕行剖腹探查术。术中见腹腔积血约300ml,呈鲜红色,无凝血块,右侧卵巢灰白色,软骨状变性,左侧较正常略小,双侧输卵管充血、水肿、增粗,伞部有活动性鲜血溢出,未找到异位妊娠病
Abdominal apoplexy is a less common type of acute abdomen. Now Huaihua City Hospital (3 cases), Baokang County Hospital (2 cases) and Dongfeng County Hospital (1 case) contributions are reported as follows. Example 1.32 years old, hospital number 42142. 30 days after abortion, abdominal pain 24 hours, paroxysmal exacerbation 5 hours, April 13, 1988 emergency admission. Physical examination: T37 ℃, P86 times / min, Bp13.3 / 8.0kPa (100 / 60mmHg). Full abdomen, the whole abdomen are tenderness and rebound tenderness, to the lower right and abdomen under the umbilical obvious, Wei (+), dullness (+). Maternal seizure: no vaginal bleeding, cervical pain was obvious, Haggard’s sign (-), the size and location of the palace body is not clear, the dome full. After culdocentesis out of red blood coagulation 2ml. Hb110g / L, WBC9.2 × 10 ~ 9 / L, S0.7, clotting time and platelet normal, urine hCG (-), ESR23mm / h. To be diagnosed with ectopic pregnancy exploratory laparotomy. Intraoperative see about 300ml of hemoperitoneum, was bright red, no clot, the right ovary gray, cartilage degeneration, the left slightly smaller than normal, bilateral tubal congestion, edema, thickening, Department of active bloody umbrella , Did not find ectopic pregnancy disease