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患女,28岁。5月孕,出现右侧腹阵发性隐痛。1992年8月中旬,在某医院诊断为“阑尾炎”,行“阑尾切除术”,术后腹痛不减,且右上腹出现痛性包块。9月10日,行包块穿刺,抽出淡黄色液体约1500ml,包块减小。次日出现肉眼血尿2次,右侧腹阵发性疼痛加剧,包块增大,同时出现头晕、呕吐。急诊来本院。 查体 T37.6℃,P120次/min,R30次/min,Bp10.0/6.0kPa,贫血貌。心肺(-)。腹部膨隆,宫底高23cm,胎心不清。右上腹及上腹部可扪及约25cm×25cm×15cm之包块,质韧,压痛阳性,不活动,与宫底界线不清,移动性浊
Female, 28 years old. May pregnancy, there is the right vulva paroxysmal pain. In mid-August 1992, a hospital diagnosed as “appendicitis” line “appendectomy”, postoperative abdominal pain unabated, and the right upper quadrant pain mass. September 10, the line mass puncture, out of light yellow liquid about 1500ml, mass reduction. The second day of gross hematuria 2 times, the right abdominal paroxysmal pain intensified, mass increases, while dizziness, vomiting. Emergency to the hospital. Physical examination T37.6 ℃, P120 times / min, R30 times / min, Bp10.0/6.0kPa, anemia appearance. Cardiopulmonary (-). Abdominal bulging, palace bottom height 23cm, fetal heart rate is unclear. The right upper quadrant and upper abdomen palpable mass of about 25cm × 25cm × 15cm, quality toughness, tenderness positive, inactive, unclear borderline with the bottom of the palace, moving turbidity