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患者甘××,37岁,已婚,住院号71370。因停经42天,下腹部持续性疼痛伴胸闷、出冷汗9小时,于1978年10月12日入院。末次月经1978年8月30日。停经后有轻微恶心呕吐等反应,无阴道流血。既往月经规律,(3-6)/(25-26)天,量不多,无痛经史。妊_4产_1,自然流产三次,末次流产于四年前。检查:血压94/60mmHg,脉搏84次/分,体温37.3℃,发育营养良好,面色苍白,烦躁。心肺无异常,肝脾不大,下肢无浮肿,下腹部具压痛及反跳痛,移动性浊音可疑。妇科检查:外阴、阴道正常,阴道无流血,宫颈紫兰色。后穹窿饱满有触痛,宫颈有抬
Gan × × patients, 37 years old, married, hospital number 71370. Due to menopause 42 days, persistent pain in the lower abdomen with chest tightness, cold sweat 9 hours, admitted on October 12, 1978. The last menstruation August 30, 1978. After menopause, a slight nausea and vomiting and other reactions, no vaginal bleeding. Past menstrual regularity, (3-6) / (25-26) days, the amount of small, no history of dysmenorrhea. Pregnancy _4 production _1, spontaneous abortion three times, the last abortion four years ago. Check: blood pressure 94 / 60mmHg, pulse 84 beats / min, body temperature 37.3 ℃, well-developed nutrition, pale, irritable. No abnormal heart and lung, liver and spleen, lower extremity no edema, lower abdominal tenderness and rebound tenderness, mobility dullness suspicious. Gynecological examination: vulva, normal vagina, vaginal bleeding, cervical purple blue. Fornix full tenderness, cervical lift