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患者女,28岁。G_3P_1。因孕6个月急性下腹痛10小时急诊入院。于停经50天出现早孕反应,孕5个月自觉胎动,入院前1天下午活动后于午夜1时许突然发生下腹部剧烈疼痛,疼痛持续加重无缓解,伴腹部进行性增大及胎动消失,无阴道出血。初诊为孕6个月、死胎、胎盘早剥?体检:T36.4℃、P90次/分、R21次/分、Bp 16/12kpa。急性痛苦病容,贫血貌,心肺无异常。腹部膨隆,全腹压痛、无反跳痛及肌紧张。子宫约孕7个月大小,张力大,
Female patient, 28 years old. G_3P_1. 6-month pregnant due to acute lower abdominal pain 10 hours emergency admission. In the 50 days after menopause, there was an early pregnancy reaction, 5 months pregnant fetus conscious fetal movement, one afternoon before admission activity at 1 o’clock midnight suddenly occurred severe pain in the lower abdomen, pain continued to aggravate no relief, with increased abdominal and fetal movement disappeared, No vaginal bleeding. First diagnosed as pregnant 6 months, stillbirth, placental abruption? Physical examination: T36.4 ℃, P90 beats / min, R21 beats / min, Bp 16 / 12kpa. Acute pain sickness, anemia appearance, no abnormal heart and lung. Abdominal bulging, full abdominal tenderness, no rebound tenderness and muscle tension. Uterine about 7 months pregnant size, tension,