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患者,20岁,未婚。因停经90 d,持续性腹痛6 h于2004年5月11日急诊入院。患者平时月经周期规则,经量中等,无痛经史。近6个月与男友有性生活史。入院前6 h骤感左下腹刀割样剧烈疼痛,继则呈持续性剧痛,有少量阴道流血,血色暗红,同时伴有肛门坠胀感。因腹部剧痛渐波及中上腹且感头晕、心悸、精神萎靡而来本院急诊。入院体检:T36.8℃,P 120次/min,R 24次/min,BP 80/50 mmHg。神志清,急性痛苦病容,面色苍白,心肺检查正常,腹平,全腹弥漫性压痛、反跳痛,轻度肌抵抗,尤以左下腹为甚,移动性浊音
Patient, 20 years old, unmarried. Due to menopause 90 d, persistent abdominal pain 6 h on May 11, 2004 emergency admission. Patients usually menstrual cycle rules, the amount of medium, painless history. Nearly 6 months with her boyfriend has a history of sexual life. Six hours before admission, he felt a sharp pain in the left lower quadrant. He continued to have severe pain following a small amount of vaginal bleeding and dark redness accompanied by an anal bulge. Due to abdominal pain and abdominal pain in the upper reaches of the wave of dizziness, palpitations, apathetic to our hospital emergency room. Admission examination: T36.8 ℃, P 120 times / min, R 24 times / min, BP 80/50 mmHg. Consciousness, acute pain, pale, cardiopulmonary examination was normal, abdominal flat, full abdominal diffuse tenderness, rebound tenderness, mild muscle resistance, especially in the left lower quadrant, mobility dullness