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病例摘要例1 女,33岁,婚后7年未孕,停经50天,突然腹痛伴尿频、尿急、尿痛3小时来院。无阴道流血及早孕反应。泌尿感染史3年,否认腹部外伤史。查体;体温36.5℃,脉搏98次/分,呼吸18次/分,血压100/80mmHg。心肺正常。下腹轻度压痛及反跳痛,无肌紧张。尿常规:WBC满视野,RBC 10～20/低倍镜,脓细胞4～6/低倍镜,蛋白(+),管型(-)。血常规:WBC 13100/mm~3,RBC 360万/mm~3,Hb 9.5％。诊断为尿路感染收入院。入院后病情进行性加重,表现意识模糊,四肢发凉,冷汗。再次测血压80/60mmHg。疑似宫外孕破裂而行腹腔试穿,抽出不凝固血液,以宫外孕
Case summary 1 female, 33 years old, 7 years after marriage is not pregnant, menopause 50 days, suddenly abdominal pain with frequent urination, urgency, dysuria 3 hours to hospital. No vaginal bleeding and early pregnancy reaction. History of urinary tract infection 3 years, denied a history of abdominal trauma. Physical examination; body temperature 36.5 ℃, pulse 98 beats / min, breathing 18 beats / min, blood pressure 100 / 80mmHg. Cardiopulmonary normal. Lower abdominal tenderness and rebound tenderness, no muscle tension. Urine routine: WBC full field of view, RBC 10 ~ 20 / low power, pus 4 ~ 6 / low power, protein (+), tubular (-). Blood: WBC 13100 / mm ~ 3, RBC 3.6 million / mm ~ 3, Hb 9.5%. Diagnosis of urinary tract infection income hospital. After admission, the disease progressed aggravatingly, the performance of consciousness blurred, cold limbs, cold sweat. Measure blood pressure again 80 / 60mmHg. Suspected ectopic pregnancy rupture line abdominal try, out of non-coagulated blood to ectopic pregnancy