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患者,31岁。因左下腹坠疼5年,停经8周,跌倒后腹痛加重,阴道出血1天入院。5年前行输卵管结扎手术,术后常感到左下腹坠胀疼痛,月经尚正常。在当地按术后附件炎治疗,其效欠佳。1986年曾以慢性附件炎给予中西药治疗3个月仍未能奏效。1天前因不慎跌倒,腹痛加重,出冷汗,阴道有少量出血,急诊入院。体查:体质瘦弱,脉搏细弱,四肢发冷,冷汗淋漓。腹肌稍紧张,下腹部明显压痛反跳痛。妇科检查:阴道及宫口有暗红色血液,子宫颈呈紫蓝色着色,抬举痛明显,后穹窿饱满,有触痛,左侧附件区压痛明显。后穹窿穿刺.吸出5ml暗红色陈旧性不凝血
Patient, 31 years old. Due to left lower quadrant pain for 5 years, menopause 8 weeks, abdominal pain after falling aggravated, vaginal bleeding 1 day admission. 5 years ago underwent tubal ligation surgery, often feel the left lower quadrant pain, bulging, menstruation is still normal. In the local treatment of postoperative inflammation, poor efficacy. In 1986, chronic appendicitis was given to western medicine for 3 months still failed to work. 1 day ago due to accidental falls, abdominal pain increased, a cold sweat, a small amount of vaginal bleeding, emergency admission. Physical examination: physical thin, weak pulse, limbs cold, sweat dripping. Slight tension in the abdomen, tenderness and tenderness in the lower abdomen. Gynecological examination: the vagina and cervix have dark red blood, the cervix was purple-blue coloring, lift the pain obvious, after the dome full, tenderness, left attachment area tenderness significantly. After the culdocentesis. Aspiration 5ml dark red old does not clot