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病历简介患者孙某,33岁,农民。25岁结婚,婚后自然流产3次,葡萄胎刮宫1次,而后患继发性不孕3年,伴月经稀发、经量减少。经用人工周期6个月后,月经转为正常。患者于1983年4月20日,因停经50日,突发性左下腹撕裂样疼痛,伴晕厥2次入院。查体:体温37.1℃,脉搏115次,血压9/5Kpa(70/40mmHg)。意识朦胧,面色苍白,四肢厥冷。心率115次,律齐。腹膨隆,全腹肌紧张有压痛、反跳痛及移动性浊音。阴道少量血性分泌物,后穹窿饱满,宫颈举痛,子宫体及附件触不清。后穹窿穿刺得暗红色不凝血。血红蛋白5g％。初诊为宫外妊娠破裂,失血性休克。在补液抗休克的同时手术治疗。术中清除积血2500ml,发现左侧输卵管壶腹部有2cm长的破裂口,有活动性出血。切除破裂的壶腹部及伞端。子宫体和患侧卵巢及对侧附件无异常发
Patient Sun Mou, 33 years old, farmer. 25-year-old married, 3 spontaneous abortion after marriage, mole curettage Palace 1, and then suffering from secondary infertility 3 years, with thinning of menstruation, by the amount of reduction. After 6 months of artificial cycle, menstruation turned normal. Patients in April 20, 1983, due to menopause 50, sudden left lower quadrant tear-like pain, with syncope 2 admission. Examination: body temperature 37.1 ℃, pulse 115 times, blood pressure 9 / 5Kpa (70 / 40mmHg). Consciousness dim, pale, limbs Jueleng. Heart rate 115 times, law Qi. Abdominal bulge, the whole abdominal muscle tenderness, rebound tenderness and mobility dullness. A small amount of bloody vaginal discharge, after the fornix full, cervical pain, uterine body and annex touch unclear. Dark red after the culdocentesis does not clotting. Hemoglobin 5g%. New diagnosis of ectopic pregnancy rupture, hemorrhagic shock. In the fluid anti-shock surgery at the same time. Surgery to remove hemorrhage 2500ml, found on the left side of the oviduct ampulla 2cm long rupture mouth, active bleeding. Resection of ruptured ampulla and umbrella end. Uterine and ipsilateral ovarian and contralateral annex no abnormal hair