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患者21岁,闭经3月,阴道流血2月,昏厥1h,于1994年4月16日急诊入院。入院当晚突然昏厥1次,随后出现下腹持续性坠痛,伴恶心、呕吐,吐出为食物。末次月经1993年12月25日,停经后有恶心、纳差,于39d发生阴道持续流血,未见组织物或水泡状物。未婚,但有性生活史,近无刮宫术史。 体检 体温37.5℃,脉搏110次/min,血压10/4kPa,呼吸34次/min,表情淡漠,重度贫血貌,心率110次/min,呼吸音正常。腹部中度膨隆,下腹有压痛,从下腹正中为甚,有反跳痛,移动性浊音阳性,肠呜音减弱。妇科检查已婚未产式,阴道内有少量血污,未见紫蓝色结节,宫颈举痛阳性,阴道后穹隆饱满,有液波感。前位子宫,稍大,中
21-year-old patient, amenorrhea in March, vaginal bleeding in February, fainting 1h, on April 16, 1994 emergency admission. On the night of admission suddenly fainting 1 times, followed by persistent persistent lower abdomen pain, with nausea, vomiting, spit food. The last menstrual December 25, 1993, nausea and anorexia after menopause, continued vaginal bleeding on day 39d, no tissue or blisters. Unmarried, but the history of sexual life, almost no curettage history. Body temperature 37.5 ℃, pulse 110 beats / min, blood pressure 10 / 4kPa, breathing 34 beats / min, apathy, severe anemia, heart rate 110 beats / min, normal breathing sounds. Abdominal moderate bulging, tenderness in the lower abdomen, from the middle of the lower abdomen even worse, there is rebound tenderness, mobility dullness positive bowel sounds weakened. Gynecological examination has not been married, there is a small amount of blood in the vagina, no purple-blue nodules, cervical pain-positive, vaginal vault full, a liquid wave flu. Front uterus, slightly larger, medium