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患者,28岁,第2胎,孕37周持续全腹痛3小时,于1983年5月9日急诊入院。1981年足月顺产一胎,本次妊娠曾做产前检查一次,均正常。入院前3小时突然剧烈全腹痛,并有恶心、呕吐、晕眩,无阴道出血。检查。贫血貌,血压80/60,脉搏116次,呼吸36次,心肺正常。腹部膨隆,腹肌紧张,全腹有压痛及反跳痛。子宫外形完整,胎位摸不清,胎心听不到,有不规律宫缩。肛查了解到先露为头,宫口未
Patients, 28 years old, the second child, 37 weeks of pregnancy continued full abdominal pain for 3 hours, in May 9, 1983 emergency admission. Full-term pregnancy in 1981, a child, the pregnancy had a prenatal examination, are normal. 3 hours before admission sudden severe abdominal pain, and nausea, vomiting, dizziness, no vaginal bleeding. an examination. Anemia appearance, blood pressure 80/60, pulse 116 times, breathing 36 times, normal heart and lung. Abdominal bulge, abdominal muscle tension, the whole abdomen with tenderness and rebound tenderness. Uterine shape integrity, fetal position palpable, fetal heart can not hear, there are irregular contractions. Anal revealed that the first dew for the first, cervix not