论文部分内容阅读
患者女、31岁，1985.1.18入院。末次月经1984.9.28，停经15周多，27天前突然左下膜剧痛，坠胀，全身大汗，面色苍白，昏倒。12天前腹痛再次加剧。经某医院A型超声波检查证实为妊娠，诊断为“妊娠合并急性阑尾炎”。经抗生素治疗无效。7天前腹痛更剧，左下腹出现一固定痛性包块，并逐渐长大。查体：急性病容，贫血貌，血压110/60mmHg。腹丰满，全腹肌紧张、压痛、反跳痛，有移动性浊音。左附件区可扪及14×10cm包块、周
Female patient, 31 years old, admitted to hospital on January 1985. The last menstrual period 1984.9.28, menopause more than 15 weeks, 27 days ago sudden left lower extremity pain, bulge, sweating, pale, collapsed. Abdominal pain aggravated again 12 days ago. A hospital by a type A ultrasound confirmed pregnancy, diagnosed as “pregnancy complicated with acute appendicitis.” Antibiotic treatment is invalid. 7 days ago abdominal pain more drama, the left lower abdomen appeared a fixed painful mass, and gradually grow up. Physical examination: acute disease, anemia appearance, blood pressure 110 / 60mmHg. Abdomen fullness, the whole abdominal muscle tension, tenderness, rebound tenderness, shifting dullness. Left attachment area palpable 14 × 10cm mass, weeks