论文部分内容阅读
1 病历摘要患者,26岁,住院入号4276。闭径36~(+3)周,持续性下腹痛6小时入院,患者1孕零产,妊娠36~(+3)周,闭经后无阴道流血,无早孕反应,孕期经过良好。于1994年4月21日14小时左右,无诱因突然自觉下腹部刀割样疼痛,逐渐加重,并波及全腹,同时伴有恶心呕吐,于当日20时急来就诊。体检:T37℃,P112次/min,R22次/min,BP12.0/8.0kPa。急性痛苦面容,贫血外观,神志清醒。两肺呼吸音略粗,无罗音。心音纯律整。全腹膨隆,腹壁板状硬,压痛及反跳痛(+),左侧尤甚。子宫轮廓不清,胎位触不清,胎心率
1 patient summary patient, 26 years old, hospital admissions 4276. The patients were admitted to hospital for 6 hours with continuous lower abdominal pain. The patients were pregnant for one week and were born for 36 weeks (+3 weeks). No vaginal bleeding occurred after amenorrhea, and no early pregnancy reaction was found. About 14 hours on April 21, 1994, no reason suddenly conscious abdominal knife-like pain, and gradually increased, and spread to the whole abdomen, accompanied by nausea and vomiting, the urgent visit to the doctor at 20 o’clock that day. Physical examination: T37 ℃, P112 times / min, R22 times / min, BP12.0/8.0kPa. Acute painful face, anemic appearance, conscious. Breath sounds slightly thick lungs, no rales. Heart sound pure law. Abdominal bulge, abdominal plate-like hard, tenderness and rebound tenderness (+), especially on the left. Uterine outline is unclear, fetal position palpable, fetal heart rate