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张××,23岁,农民,于1991年元月8日因妊娠27周,左下腹持续性胀痛一天急诊入院。孕1产0。末次月经90年5月11日,早孕期无妊娠反应,孕4个月开始有胎动感,未做过产前检查,于91年元月8日早6点感尿急胀。排出比往常较多的尿量后,突感左下腹持续性疼痛,且逐渐加剧,自觉腹部在半天内明显增大,胎动消失,伴有恶心、头昏、头痛、心悸、口渴、无阴道流血,一天未进食进水,双下肢无水肿。孕3个月时,曾感下腹胀痛过一次,未经治疗而自愈。月经初潮14岁天,量多。有血块,无痛经。22岁结婚,无流产史。检查:发育正常。营养中等,神清合作,表情淡漠,面色苍白,咀唇樱红,口臭,四肢苍白,体温36.5℃,脉膊140次/分,呼吸24次/分,血压70/
Zhang × ×, 23 years old, farmer, on January 8, 1991 due to 27 weeks of pregnancy, persistent pain in the left lower quadrant one day emergency admission. Pregnancy 1 production 0. The last menstrual period on May 11, 90, no pregnancy reaction during the first trimester, 4 months pregnant with fetal movement, did not make the prenatal examination, on January 8, 91 as early as 6:00 sense of urgency. Excretion of urine more than usual, the sudden sensation of persistent pain in the left lower quadrant, and gradually aggravated consciously abdomen increased significantly in half a day, disappeared fetal movement, accompanied by nausea, dizziness, headache, palpitations, thirst, no vaginal Bleeding, one day without eating water, no lower extremity edema. 3 months pregnant, had a sense of abdominal pain once, without treatment and self-healing. Menarche 14-day days, the amount of more. A blood clot, no dysmenorrhea. 22-year-old married, no abortion history. Check: normal development. Nutrition medium, clear cooperation, expression indifference, pale, lip lips red, bad breath, pale limbs, body temperature 36.5 ℃, pulse 140 beats / min, breathing 24 beats / min, blood pressure 70 /