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患者,21岁,曾足月顺产1男婴,11个月,哺乳期闭经。1992年8月28日在当地卫生院上环。术中突感腰腹坠痛不适,自觉头昏、恶心,继之晕倒。血压10.7/8.0kPa,脉弱64次/分,在补液的同时取环,但宫内无环。外院透视盆腔环位正常,回院给予抗炎、宫缩素治疗,5天后出院,以后一直腰痛,伴食欲不佳,精神不振。14天后复诊,要求取环。入院检查:精神欠佳,T36℃,P80次/分。下腹轻度压痛,右侧穹窿顶部扪及环下缘呈半圆形,有触痛。子宫极度前倾前屈、稍小、活动、有压痛,双侧附件增租均有压痛,疑为环移位。B超检查及
The patient, 21 years old, had full-term 1-year-old boy, 11 months, lactating amenorrhea. August 28, 1992 in the local hospital on the ring. Intraoperative sudden sensation lumbar abdomen pain discomfort, consciously dizzy, nausea, then fainted. Blood pressure 10.7 / 8.0kPa, weak pulse 64 beats / min, take the ring while rehydration, but no intrauterine ring. External pelvic ring normal, back to give anti-inflammatory, orifixin treatment, 5 days after discharge, has been low back pain, with poor appetite, lack of energy. 14 days after the referral, request for ring. Admission examination: poor health, T36 ℃, P80 beats / min. Abdomen mild tenderness, palpable at the top of the right dome and semicircular ring edge, tenderness. Uterine extreme forward flexion, slightly smaller, activity, tenderness, bilateral attachments have increased tender tenderness, suspected of ring displacement. B-ultrasound and