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我院曾收治2例宫外孕,因误诊而行二次人工流产术,现举1例分析如下。 患者25岁,停经2个月,11天前在外院行人工流产术,术中流血不多,但术后阴道一直少量流血,色暗,无组织脱出,下腹部隐痛。入院前10小时在外院复查尿妊娠试验阳性,疑“不全流产”,行第二次刮宫术。术后仍感下坠,1小时前突感下腹部持续性疼痛难忍,伴头晕、心慌而转我院。查体:体温36.4℃脉搏不清,呼吸20次/ min,血压6.67/4.0kPa,急性痛苦病容。贫血貌,神志清,口唇稍紫绀。腹腔穿刺未抽出血液(未经后穹窿穿刺)。
Our hospital had received 2 cases of ectopic pregnancy, due to misdiagnosis and second artificial abortion, cite one case analyzed as follows. Patient 25 years old, menopause 2 months, 11 days before the abortion in the outpatient line abortion, blood flow is small, but the postoperative vagina has been a small amount of bleeding, dark color, no tissue prolapse, abdominal pain. 10 hours before admission in the hospital for review of urine pregnancy test positive, suspected “incomplete abortion” line second curettage. Still feel after the fall, 1 hour before the sudden sensation of persistent abdominal pain, with dizziness, palpitation and transferred to our hospital. Physical examination: body temperature 36.4 ℃ pulse is not clear, breathing 20 times / min, blood pressure 6.67 / 4.0kPa, acute pain and sickness. Anemia appearance, clear consciousness, slightly cyanotic lips. Abdominal puncture did not withdraw the blood (without posterior fornix puncture).