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患者陈××,女,32岁,1987年12月10日上午因腹痛、双肩(骨甲)部剧痛4小时入院。既往身体健康,无腹外伤史,10天前月经来潮,量较前少。查体温36.5℃,脉博114次,血压60/50毫米汞柱,肥胖体质,面色灰白,四肢湿冷,腹部轻度压痛,反跳痛(±),墨非氏征(±),心肺正常。检验:血红蛋白8克,白细胞27,000,中性87%,淋巴13%,尿、粪常规正常。用7号针头腹穿未抽出任何液体,暂按急性化脓性胆管炎、贫血待查进行抗炎抗休克治疗。第2天清晨,患者意识模糊,面色苍白,血压50/40毫米汞柱,血红蛋白4.5克,改用大号针头作第2次穿刺,抽出不凝固血液,立即按宫外孕作剖腹探查术,发现左侧卵巢增大如红枣样,上有活动出血点,作左侧卵巢切除
Patient Chen × ×, female, 32 years old, December 10, 1987 morning due to abdominal pain, shoulders (bone nail) Department of pain 4 hours admission. Past physical health, no history of abdominal trauma, 10 days ago menstrual cramps, less than before. Body temperature 36.5 ℃, pulse Bo 114 times, blood pressure 60/50 mm Hg, obesity physique, pale gray, limbs cold and tenderness, mild abdominal tenderness, rebound pain (±), Mexican non-sign (±), normal heart and lung. Test: 8 grams of hemoglobin, leukocytes 27,000, 87% neutral, lymphatic 13%, urine, normal feces. Needle with a needle No. 7 did not withdraw any liquid, temporarily suppurative acute cholangitis, anemia pending anti-inflammatory anti-shock treatment. The early morning of the second day, the patient confused, pale, blood pressure 50/40 mm Hg, 4.5 grams of hemoglobin, use a large needle for the second puncture, no blood coagulation, immediately by ectopic pregnancy for laparotomy and found left Side of the ovary, such as red jujube-like, there are active bleeding points, left ovary resection