论文部分内容阅读
患者36岁,住院号3330,孕2产1。以往月经规律,因停经55天,突发性左下腹部撕裂样疼痛16小时,伴恶心,里急后重感。于1994年3月15日来我所就诊,疑宫外孕急诊入院。检查:T37℃,P72次/分,R20次/分,BP16/10kPa。急性痛苦病容,心肺肝脾无异常,腹软,下腹部压痛、反跳痛,以左侧为著,移动性浊音不明显,子宫前位,大小正常、稍软,活动度差,有压痛,左侧扪及包块,轮廓不清、压痛、反跳痛阳性。后穹窿穿刺抽出陈旧性不凝血5ml。做尿妊娠试验阴性。B超检查:子宫前位大小正常、肌壁间回声均质,于子宫左后方探及一约5.0×4.1cm大之椭圆形液性暗区,边界不清。提示:卵巢囊肿(左侧)。
Patient 36 years old, hospital number 3330, pregnant 2 produce 1. Past menstrual regularity, 55 days after menopause, sudden left lower quadrant tear-like pain 16 hours, with nausea, tenesmus heavy sense. March 15, 1994 came to my clinic, suspected ectopic pregnancy emergency admission. Check: T37 ℃, P72 times / min, R20 times / min, BP16 / 10kPa. Acute pain, no abnormal heart and lung and spleen, abdomen soft, lower abdominal tenderness, rebound tenderness, to the left for, mobility dullness is not obvious, the anterior uterus, the size of normal, slightly soft, poor mobility, tenderness, Palpable mass on the left, the outline is unclear, tenderness, rebound pain positive. After the culdocentesis out of the old non-clotting 5ml. Urine pregnancy test negative. B-ultrasound: the normal size of the anterior uterus, muscular echo between the walls homogeneous in the uterus to explore the left and about 5.0 × 4.1cm oval large liquid dark area, the border is unclear. Tip: ovarian cysts (left).