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1 临床资料 例1 25岁,乘务员,已婚未育。在飞行任务准备阶段,因腹痛被航医临时换下。自述停经48天,阴道不规则少量出血18天,下腹隐痛3天。经检查,小腹压痛明显,反跳痛(+),查白细胞9.8×10~9/L,中性0.74,淋巴0.26,妊娠试验(-),B超示后穹窿有积液。怀疑宫外孕,急送医院。妇科检查:阴道有少量血性分泌物,宫颈
1 clinical data example 1 25-year-old flight attendant, married and not educated. During the flight preparation phase, the doctor was temporarily replaced by the paramedic due to abdominal pain. Postmenopausal 48 days, a small irregular vaginal bleeding for 18 days, abdominal pain for 3 days. After examination, abdominal pain was tender, rebound tenderness (+), check white blood cells 9.8 × 10 ~ 9 / L, neutral 0.74, lymph 0.26, pregnancy test (-), B ultrasound show posterior fornix effusion. Suspected ectopic pregnancy, emergency hospital. Gynecological examination: a small amount of bloody vaginal discharge, cervix