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患者,41岁,农民。因剧烈腹痛,晕厥,于1990年9月2日急诊入院。患者于1980年3月4日在本乡医院做过绝育手术,术后身体健康,月经正常。末次月经是1990年6月5日。7月16日阴道有少量血性物流出,自认是断经先兆,8月15日中午曾突然发生过剧烈腹痛伴头晕,出冷汗,在当地医院以急性胃肠炎,腹痛待查收住入院。经对症治疗,病情有所好转。9月2日早晨再次出现剧烈腹痛,血压下降,转我站求治。查体:体温36.5℃,脉搏90次/分,呼吸22/分,血压13.0/8.3 kPa。表情淡漠,消瘦,贫
Patient, 41 years old, farmer. Due to severe abdominal pain, syncope, in September 2, 1990 emergency admission. Patients in the March 4, 1980 in the township hospital sterilization surgery, postoperative health, normal menstruation. The last menstruation is June 5, 1990. July 16, a small amount of bloody vaginal discharge, considered to be a sign of broken, at noon on August 15 had a sudden severe abdominal pain with dizziness, cold sweat in the local hospital with acute gastroenteritis, abdominal pain pending check admitted to hospital. After symptomatic treatment, the condition has improved. Severe abdominal pain again on the morning of September 2, blood pressure, turn me to seek treatment. Physical examination: body temperature 36.5 ℃, pulse 90 beats / min, breathing 22 / min, blood pressure 13.0 / 8.3 kPa. Indifferent expression, weight loss, poverty