卵巢粒层细胞瘤自发性破裂误诊为宫外孕1例

• 作 者: 白银娥
• 机 构: 神华集团神府公司大柳塔职工医院 719315
• 出 处: 陕西医学杂志
• 发表日期: 1998年04期
• 关键词: 卵巢粒层细胞瘤 自发性破裂 子宫后陷凹 后穹窿 摇摆痛 宫颈举痛 痛苦面容 末次月经 撕裂样痛 持续性

患者39岁,因停经55d,下腹痛伴恶心、呕吐2h。末次月经1995年7月17日,停经后无明显不适,入院前2h无诱因突感下腹不撕裂样痛,持续性、伴恶心、呕吐、下坠不适。门诊行后穹窿穿刺术抽出3ml不凝血,T37℃,P88/min,R20/min,BP14/8kPa神志清楚,痛苦面容。妇检:宫颈举痛、摇摆痛、后穹窿饱满、触痛、子宫右侧方触及不规则包块约6cm×5cm×4cm质地较硬压痛,活动差,子宫后陷凹触及充满感,质中、压痛。血常规:Hb90g/L,NO80,

The patient was 39 years old because of menopause 55d, lower abdominal pain with nausea and vomiting for 2h. The last menstrual period July 17, 1995, there was no obvious discomfort after menopause, 2h before admission did not cause sudden feeling of lower abdomen tear-like pain, persistent, with nausea, vomiting, falling discomfort. Outpatients performed posterior fistula puncture 3ml without clotting, T37 °C, P88/min, R20/min, BP14/8kPa conscious, painful face. Gynecological examination: Cervical pain, swaying pain, plump, tenderness, touch the right side of the uterus irregular mass about 6cm × 5cm × 4cm hard texture tenderness, poor activity, after the uterus depression touch full of sensation, quality ,tenderness. Blood routine: Hb90g/L, NO80,