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患者31岁,系哑人,于1980年元月24日结婚,婚后一直未来月经,有妊娠反应。患者于1980年4月5日晚突然阴道大出血约1000余毫升,并短暂昏厥一次后于10时急诊入院。入院时血压60/40毫米汞柱,神志清楚,表情淡漠,重度贫血貌,大汗淋漓。妇产科检查:外阴已婚未产式,阴道口有血块堵塞,宫口开大一指,有鲜血外溢,宫体后屈稍增大,软,无压痛。双侧附件(一)。实验室检查:红细胞158万/立方毫米,血红蛋白5.5克%,白细胞5800/立方毫米,中性74%,
Patient 31 years old, Department of mute, married on January 24, 1980, the future menstruation after marriage, a pregnancy reaction. Patients in the evening of April 5, 1980 sudden vaginal bleeding about 1000 ml, and a brief fainting at 10 o’clock emergency admission. Admission of blood pressure 60/40 mm Hg, conscious, apathy, severe anemia, sweating. Obstetrics and gynecology examination: genital married unproductive, vagina clogged blood clots, open a large palace, spilled blood, palace slightly increased flexion, soft, no tenderness. Bilateral accessories (a). Laboratory tests: erythrocytes 1.58 million / cubic mm, hemoglobin 5.5 g%, white blood cells 5800 / cubic mm, 74% neutral,