论文部分内容阅读
患者,女,22岁。于1992年12月8日因停经39~(+3)周,腹痛28小时住院。未次月经1992年3月15日,停经4个月有胎动。住院前28小时大便后感腹部隐痛,痛无定点,为持续性渐加重,曾晕厥一次。孕1产0。近一月来否认有性生活史及外伤史。既往健康。入院检查:T36.9℃,R20次/分,P80次/分,BP12/8kpa。精神差,口唇、粘膜苍白。双肺呼吸音正常。心率80次/分,律齐,各听诊区无杂音。腹部高度膨隆,腹肌稍紧,满腹有压痛及反跳痛。肝脾触诊不满意。宫高29cm,腹围94cm,胎位触不清,胎心听不到。内诊查宫口开大2cm,胎膜未破,先露胎头。血常规:
Patient, female, 22 years old. On December 8, 1992 due to menopause 39 ~ (+3) weeks, abdominal pain 28 hours hospitalization. Uncurrent menstrual March 15, 1992, menopause 4 months fetal movement. 28 hours before admission stool abdominal pain after a sense of pain, no fixed point of pain, progressive increase in severity, had a syncope again. Pregnancy 1 production 0. Nearly a month to deny sexual history and trauma history. Past health. Admission examination: T36.9 ℃, R20 beats / min, P80 beats / min, BP12 / 8kpa. Poor spirit, lips, mucous membrane pale. Respiratory sounds of both lungs normal. Heart rate 80 beats / min, law Qi, the auscultation area without noise. Abdominal height bulge, abdominal tightness, full of tenderness and rebound tenderness. Not satisfied with liver and spleen palpation. Palace height 29cm, abdominal circumference 94cm, fetal position palpable, fetal heart can not hear. Ophthalmoscopy within the large open 2cm, fetal membranes are not broken, first exposed fetal head. Blood routine: