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患者,女,34岁,住院号10218。1982年剖宫产分娩一女婴,1984年上环。末次月经1989年3月25日,闭经50天时尿妊娠试验阳性,透环正常。5月16日行人流术。术前宫腔10cm,术中见到典型绒毛组织并取出不锈钢节育环,术后9天,突然右下腹剧烈疼痛,恶心,呕吐伴下坠感,头晕后昏倒,急来院内科,经妇科会诊后,以失血性休克,宫外孕入院。入院时检查:严重贫血貌,口唇发绀,腹肌紧张,移动性浊音阳性,妇科检查:宫颈光滑,明显抬举痛,宫体水平位,略大,漂浮感,双侧附件触及不满意。后穹窿穿刺抽出不凝血4ml。在纠正休克的同时急诊手术。术
Patient, female, 34 years old, hospital number 10218. A cousin delivered to a baby girl in 1982, Sheung Wan in 1984. The last menstrual March 25, 1989, 50 days after amenorrhea urine pregnancy test was positive, normal ring. May 16 Pedestrian flow. Uterine cavity before surgery 10cm, the typical villi tissue surgery to see and remove the stainless steel birth control ring, 9 days after the sudden right lower quadrant severe pain, nausea, vomiting with a sense of falling, dizzy after fainting, hurry to hospital medicine, gynecological consultation, To hemorrhagic shock, ectopic pregnancy admission. Admission examination: severe anemia appearance, lips cyanosis, abdominal muscle tension, mobility dullness positive, gynecological examination: cervical smooth, obviously lift the pain, Palace level, slightly larger, floating sense, bilateral attachment is not satisfied. After culdocentesis does not clot 4ml. Emergency surgery while correcting shock. Surgery