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患者,26岁,G2P0孕38周,搬重物时突发下腹痛4小时,于2015年3月25日急症入院。患者述入院前4小时在搬动重物时突然出现下腹持续性疼痛,呈阵发性加重,以右下腹尤为明显,伴恶心,无呕吐及阴道流血,胎动如常。查体:T 37.3℃,P 118min-1,BP 100mmH g/70mmH g,R 40min-1。痛苦面容,睑结膜无苍白,心肺无异常。腹围98cm,宫高32cm,腹肌紧张,全腹有压痛及反跳痛,以右下腹为甚,移动
Patient, 26 years old, G2P0 38 weeks pregnant with sudden onset of abdominal pain 4 hours on heavy load, was admitted to hospital on March 25, 2015. 4 hours before admission to the hospital when moving heavy objects suddenly appeared persistent abdominal pain, paroxysmal increase to the right lower abdomen is particularly evident, with nausea, vomiting and vaginal bleeding, fetal movement as usual. Examination: T 37.3 ° C, P 118 min-1, BP 100 mmH g / 70 mmH g, R 40 min-1. Painful face, palpebral conjunctiva pale, no abnormal heart and lungs. Belly circumference 98cm, Palace height 32cm, abdominal muscle tension, abdominal tenderness and rebound tenderness, to the right lower quadrant is even more, move