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患女,26岁。以停经7月余,下腹疼痛4h之主诉于1998年2月13日急诊入院。平素月经规律,末次月经1997年7月20日。孕早期无明显早孕反应,孕5月有胎动,孕早期曾行B超检查发现右侧卵巢肿瘤。发病时无诱因,突发下腹区钝痛,持续下坠感明显,无阴道流液、出血。查体:T36.8℃,P108次/min,R24次/min,BP14.0/9.0kPa。急性痛苦面容,心肺正常。腹膨隆,腹肌较紧张,全腹压痛。产科检查:宫高25cm,腹围97cm,胎位LOA,胎心率142bpm,先露浮。宫颈管未展平。血常规:WBC22.56×10~9/L,中性0.89,Hb85g/L。B超提示单胎头位存活,右侧附件区直
Female, 26 years old. In July more than menopause, abdominal pain 4h chief complaint on February 13, 1998 emergency admission. Normal menstrual regularity, the last menstrual July 20, 1997. Early pregnancy no significant response to early pregnancy, pregnancy, fetal movement in May, pregnant early B-line ultrasound examination found that the right ovarian cancer. No incentive at onset, sudden abdominal pain dullness, continued significant sense of falling, no vaginal fluid, bleeding. Physical examination: T36.8 ℃, P108 times / min, R24 times / min, BP14.0/9.0kPa. Acute pain face, normal heart and lungs. Abdominal bulge, abdominal muscle tension, full abdominal tenderness. Obstetric examination: Palace height 25cm, abdominal circumference 97cm, fetal LOA, fetal heart rate 142bpm, first exposed floating. Cervical tube is not flattened. Blood: WBC22.56 × 10 ~ 9 / L, neutral 0.89, Hb85g / L. B-tips single-head survival, right attachment area straight