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病历摘要患者女性,39岁,已婚,农民。右腹部疼痛15小时,于1982年9月14日晨4时30分急诊入院。患者于15小时前,搬运、传递砖块之际(未跌倒,无撞击伤史),骤起右腹部疼痛,甚剧,呈持续性,不向他处放射,伴恶心,未呕、不泻,逐渐出现头晕、面色苍白、心悸、气促等,曾由当地医生肌注阿托品1毫克,症状无缓解,小便量少、色清,无尿路刺激症状。起病前无饮食不洁史。既往体健,否认肝病、腹块、高血压、出血倾向等病史。无烟酒嗜好。月经史:16(6/30),末次月经1982年8月21日,19岁结婚,足月顺产3胎,1965年和1968年作过人工流产,放置宫内节育环避孕,爱人和两儿一女均健康。家族史无特殊。体检:体温37.5℃,脉搏96次/分钟,呼吸24
Patient Summary Female, 39 years old, married, farmer. Right abdominal pain 15 hours, at 14:30 on September 14, 1982 emergency admission. Patients 15 hours ago, handling, delivery of the occasion of the brick (did not fall, no history of collision injury), sudden right abdominal pain, and even drama, was persistent, not radiating to others with nausea, no vomiting, no diarrhea , Gradually dizziness, pale, palpitations, shortness of breath and so on, had a local physician intramuscular injection of atropine 1 mg, no relief of symptoms, less urine, color clear, no urinary tract irritation. Before the onset of a history of eating dirty. Past physical health, deny liver disease, abdominal mass, high blood pressure, bleeding tendency and other medical history. Non-smoking alcohol hobby. Menstrual history: 16 (6/30), the last menstruation August 21, 1982, 19-year-old married, full-term normal pregnancy 3 abortion, 1965 and 1968 abortion, intrauterine control contraceptive ring placement, love and two children A woman is healthy. No special family history. Physical examination: body temperature 37.5 ℃, pulse 96 beats / min, breathing 24