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36岁。2天前晚11时许无任何诱因突起下腹部疼痛,约半小时后以右下腹为甚,呈持续性钝痛,阵发性加剧,坐立时减轻,伴呕吐一次,为食物残渣。此外无其他不适。平时月经正常,末次月经在50天前。孕2产2,4年前行双侧输卵管结扎。既往无类似病史。体查:体温37.5℃,脉搏102次,血压13.3/8kPa,面色苍白,烦躁不安。腹平软,无胃肠蠕动波,下腹广泛压痛,轻度反跳痛,以右下腹明
36 years old. 2 days ago at 11 pm without any incentive Prominent lower abdominal pain, about half an hour later to the right lower abdomen was very persistent dull pain, paroxysmal increase, sit up and relieve, with vomiting once, for the food residue. In addition no other discomfort. Normal menstruation usually normal, the last menstruation in 50 days ago. Pregnancy 2 2, 4 years ago bilateral tubal ligation. No previous history of similar. Physical examination: body temperature 37.5 ℃, pulse 102 times, blood pressure 13.3 / 8kPa, pale, irritable. Abdomen soft, no gastrointestinal motility wave, lower abdomen, extensive tenderness, mild rebound tenderness, to the right lower abdomen